我院门诊抗高血压药物应用的调查分析

Application of anti - hypertension medicine in our hospital

目的检查我院门诊抗高血压药物的使用情况,并且评价其应用的合理性。方法分析2012年4月份19日、20日、22日三天门诊处方使用抗高血压药物的94张处方,根据《医院处方分析方法》计算用药频度(DDDs)。结果 94张处方共使用抗高血压药物5类。其中使用比例最高的是钙通道阻滞剂占48.9%,其次是肾素-血管紧张素系统抑制药类占35.8%、利尿药类占20.0%、肾上腺素受体阻断药占11.6%。药物利用指数(DUI)>1的有硝苯地平、厄贝沙坦,即钙通道阻滞剂类和肾素-血管紧张素系统抑制类药有不合理用药现象。结论抗高血压药物的使用基本合理,但仍存在某些不合理用药及需要改正的问题。

Objective To inspect the application of antihypertensive drugs in clinic service of our hospital,and to evaluate the reasonableness of their application.Methods According to Analysis of Hospital Prescriptions,to calculation the DDDs of 94 prescription on the 19th,20th and 22th of April in 2012.Results The total types of antihypertensive drugs was 5 varieties.The top DDDs drugs was calcium antagonists,compounded 48.9%,next was the angiotensin converting enzyme inhibitor and antagiotenseⅡreceptor inhibitors,compounded 35.8%,while diuretics,compounded 20.0%,and adrenoceper blocking drugs,compounded 11.6%.In these varieties,the drugs of the DUI ＆gt; 1 was calcium antagonists and antagiotense Ⅱ receptor inhibitors.Conclusion The use of antihypertensive drugs was rather concentrated and relatively reasonable,there was still some of the abuse need to rectify.