社区医院门诊口服抗高血压药用药情况及分析

Analysis on the application of oral antihypertensive drugs in basic-level hospital

目的研究社区医院对口服降压药的应用情况.方法收集2012年1月至2014 年12 月社区医院的门诊抗高压药处方,共计146-052 张,分别对患者的性别、年龄、用药情况（包括药品名称、规格、用量、联合用药）等进行统计、分析.结果社区医院就诊的女性高血压病患者明显多于男性,一般以60-69 岁老年人为主体,患者中女性明显多于男性.常用的口服降压药以β- 受体阻滞剂,血管紧张素二受体阻滞剂（ARB）和钙通道拮抗剂（CCB）为主,其中酒石酸美托洛尔控释片、硝苯地平缓释片、缬沙坦分散片、美托洛尔片使用较多.结论基层医院高血压治疗不足的现象明显改善,联合用药措施得到进一步重视,开始呈现类似三甲大医院的口服高血压药用药规律.

Objective To analyze retrospectively the status quo and the tendency of antihypertensive drug use in basic- level hospitital. Methods Collect between January 2012 and December 2014 antihypertensive drug outpatient prescriptions, a total of 146052 copies. The article analyzed statistically the patient's gender, age,medical condition(including the name of the drug). Results In basic- level hospital, diabetes patients in 60- 69 years old are the main group in the elderly, in patients with more women than men were also significanly increased. The most commonly used oral antihypertensive drugs included calcium antagonist(CCB), western medicine compound preparation, angiotensin Ⅱ receptor antagonist(ARB)and β- blockers. Leading the first five places on the list of DDDs were amlodipine, nifedipine sustained- release tablets, metoprolol, felodipine,irbesartan. Conclusions As a result, basic- level hospital had obviously improved the status of under- treated hypertension, and began to appear similar hypertension medicinal drug laws as the top three hospital.