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常用五类抗高血压药物在心内科的使用分析 被引量:9

Investigation and analysis of antihypertensive drug in the department of cardiology
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摘要 目的了解内蒙古包头医学院第一附属医院心血管内科抗高血压药物的使用情况,分析不同药物在临床的使用特点,为临床合理用药提供参考依据。方法随机抽取上述医院的心血管内科2011年4~5月口服抗高血压药物的住院患者病历共72份,记录其年龄、性别、药物名称、服用剂量、天数及联用情况,调研后进行统计分析。采用世界卫生组织(WHO)推荐的限定日剂量法和Ghodes提出的方法,以药物利用指数(DUI)、用药频度(DDDs)、用药频率(DUR)为指标衡量药物的使用情况及合理性。结果口服抗高血压药物使用例次排序前三位分别是利尿剂、β受体阻滞剂、钙离子拮抗剂,用药频度(DDDs)最高的是美托洛尔,其次是硝苯地平缓释片和呋塞米。除氢氯噻嗪片和氨氯地平片DUI>1外,其余药物的DUI均小于1。结论该附属医院的抗高血压药物用药方案基本合理。 Objective To investigate and analyze the antihypertensive drug use in the department of cardiology in the hospital of Baotou Medical College, analysis the using characteristics of different drugs in the clinical, and to provide reference information for rational use of these drugs. Methods Randomly inspected 72 medical records of patients who were orally taking antihypertensive drugs in the department of cardiology from three affiliated hospital. Then recorded their sexes, ages, drugs, dosages, days and combined applications. Adopted DDD recommended by WHO and the methods put forward by Ghodes, measured the usage of drugs by the figures of DDDs, DUI, DUR, statistics could be analyzed after the inspection. Results The top three positions in the order of case times oral anti-hypertensive drugs were diuretics, [3-receptor blocker and calcium antagonists. The top three in the DDDs sorting were metoprolol tablets, sustained-release nifedipine, furosemide tablets. Except for hydrochlorothiazide tablets and amlodipine tablets, the DUI of other drugs were below 1. Conclusion The utilizationstructure of antihypertensive drugs in the hospital of Baotou Medical College is basically reasonable.
作者 李树荣 吴刚
出处 《中国当代医药》 2012年第28期160-162,共3页 China Modern Medicine
关键词 抗高血压药物 使用 分析 合理用药 Antihypertensive drugs Use Analysis Rational drug use
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