健康体检中心高血压患者用药情况分析

Anti-hypertensive Medication Analysis in A Medical Examination Center

目的通过调查体检中心高血压患病人群中的药物使用情况,了解目前高血压患者用药的合理性。方法采用横断面调查方法,随机抽取2012年12月-2013年12月的体检中心健康档案3 000份,筛选出患有高血压疾病的患者1 310例,对其用药情况进行分析。结果 1 310例高血压患者中有959例既往使用了降压药,其中423例(44.11%)服用了单方降压药,536例(55.89%)服用了复方降压药或采用了联合用药的方式。在服用单方降压药的患者中,服用钙通道阻滞剂(CCB)类降压药的最多,有244例(25.44%)。在服用复方降压药或采用联合用药的患者中,359例(37.43%)患者采用了二联复方制剂或2种药物的联合治疗,而CCB+血管紧张素受体阻滞剂或CCB+血管紧张素转换酶抑制剂的方式占了绝大多数。结论体检中心高血压患者降压治疗用药基本符合高血压指南的推荐方案,但仍然存在一定差距,这可能是今后高血压患者教育的改进方向。

Objective To investigate the use of anti-hypertensive drugs among hypertension patients in examination medical center. Methods ＂[his was a cross-sectional survey. Data of 3 000 cases of medical examination center health records from December 2012 to December 2013 were sampled, and 1 310 patients with hypertension were screened for analysis of medication. Results In the 1 310 hypertension patients, 959 used antihypertensive drugs before, among whom 423 （44.11%） accepted only one anti-hypertensive drug and 536 （55.89%） accepted compound anti-hypertensive drugs or combined medicine. In patients of the previous kind, calcium channel blocker classes of antihypertensive drugs were used the most （n=244, 25.44%）. Among the second kind of patients, 359 （37.43%） were treated with a two-compound drug or a combination of two drugs, and most of them used the combination of calcium channel blocker with angiotensin receptor blocker or calcium channel blocker with angiotensin converting enzyme inhibitor. Condusion The current using of anti-hypertensive drug is in accordance with the recommendation of anti- hypertensive treatment guidelines in some way, but there are still some gaps between real clinical practice and guidelines.