2011-2013年上海市松江区中心医院抗高血压药应用分析

Analysis of Application of Anti-hypertensive Drugs in Shanghai Songjiang Central Hospital during 2011-2013

目的:了解上海市松江区中心医院(以下简称"我院")抗高血压药的使用情况和发展趋势,为临床合理用药提供参考。方法:以我院2011—2013年抗高血压药的使用记录为依据,采用金额排序法和频度分析法,统计分析抗高血压药的年销售金额及各类药物销售金额排序、用药频度排序、限定日费用排序等。结果:3年来,我院抗高血压药销售金额逐年上升,但其占药品总销售金额的比例较平衡。最常用的抗高血压药种类为钙通道阻滞剂和血管紧张素Ⅱ受体阻断剂,其销售金额分别占抗高血压药销售金额的30%以上;其中,钙通道阻滞剂氨氯地平的销售金额排序连续2年居首位、用药频度排序连续3年居首位。结论:我院抗高血压药的使用情况基本合理,钙通道阻滞剂、血管紧张素Ⅱ受体阻断剂、血管紧张素转换酶抑制剂、利尿剂、复方制剂及β受体阻断剂为我院主要使用的抗高血压药。

OBJECTIVE： To investigate the application situation and tendency of anti-hypertensive drugs in Shanghai Songjiang Central Hospital（ hereinafter referred to as ＂our hospital ＂）,and to provide reference for the rational drug use in clinic. METHODS： Based on the prescription data of anti-hypertensive drugs in our hospital during2011-2013,ranking of consumption sum and frequency analysis were implemented to statistically analyze the consumption sum,ranking frequency of drug use and defined daily cost（ DDC） etc. RESULTS： Consumption sum of anti-hypertensive drugs increased annually during the three years,while anti-hypertensive drugs remain took up a balanced proportion in the total drug consumption. The most commonly used drugs were calcium channel blockers（ CCB） and angiotensin receptor blocker（ ARB）,which took up more than 30% of the total consumption sum,respectively. One of the calcium channel blockers,amlodipine,dominated the first place in consumption sum in two consecutive years,and kept the top one of DDDs for three years. CONCLUSIONS： Application of anti-hypertensive drugs in our hospital was basically reasonable. Commonly used anti-hypertensive drugs in our hospital are CCB,ARB,ACEI,diuretic,compound preparation and β receptor blockers.