心力衰竭患者用药情况与诊疗指南的对照分析

Analysis of the situation of drugs used in patients with heart failure and compared with guidelines

目的调查慢性心力衰竭患者门诊治疗药物应用情况,对照相关诊疗指南找出差距并分析原因以利改进。方法选取111例心力衰竭患者,通过查找电子处方和门诊病历,详细记录诊断及所用药物的品种、剂量、用法和时间。结果 2014年前治疗心力衰竭使用的前三位药物依次是利尿剂、地高辛和硝酸酯类。2014年后使用的前三位药物依次是利尿剂、ACEI和地高辛,ACEI和β受体阻滞剂联合的使用率为44.7%。结论指南的落实情况堪忧,基层医生应加强学习,依据指南做到慢性心力衰竭的规范化治疗。

Objective In order to investigate the situation of drugs used in outpatients with chronic heart failure in our hospital.Methods The author choose 111 patients as the research object,wrote down the name of drugs they used, and their dosage,detailed usage by analyzed their electronic prescription and outpatient medical records.Results 2014 years ago the top three cardiovascular drugs were diuretics, digoxin and nitrates that used for the treatment of chronic heart failure. After 2014 they were diuretics,ACEI and digoxin. The utilization rate of beta blockers combined with ACEI was 44.7%.Conclusion The author consider that the situation of the implementation of the guidelines is not ideal,so all the grassroots doctors should efforts to study the relevant guidelines,and in accordance with the guidelines to improve the level of reasonable use of drugs.