某高校社区糖尿病患者用药情况分析

Analysis of diabetic patients medication in college community

目的分析华中科技大学社区卫生服务中心所辖社区的成人2型糖尿病患者降糖药的应用情况。方法通过分析2014年在该社区卫生服务中心门诊就诊取药并在该院公共卫生科建档管理的辖区内647名成人2型糖尿病患者的随访记录,了解他们的用药情况。结果患病主体年龄段为50~79岁（79.29%）;男性患者（58.11%）多于女性（41.89%）;单药降糖占61.36%,两药联用占34.93%,三药及以上联用占3.71%;α-糖苷酶抑制剂、二甲双胍、胰岛素促泌剂的使用频率最高;门诊糖尿病患者以口服用药为主。结论该社区糖尿病患者用药符合《中国2型糖尿病防治指南》（2013年版）要求,用药合理。

Objective To analyze the use of hypoglycemic agents of diabetic adult patients who were managed in the Community Health Service Center of I-Iuazhong University of Science and Technology in Wuhan. Methods By analyzing of fol- low-up record of 647 adults with diabetes of the Community Health Service Center outpatient in 2014 to understand about their drug use. Results The ages of prevalence of adult diabetes were 50 to 79 years old （79.29%）, of which the majority of pa- tients aged 60 or older （73.11%）, men are more than women; the using of antidiabetic monotherapy accounted for 61.36%, the two drugs together accounted for 34.93 %, and three or more drugs accounted for 3.71%; α-glucosidase inhibitors, met- formin, insulin secretagogues are the highest frequency of use; outpatient diabetics administered orally based. Conclusion The medication use of diabetes in this community was consisted with the requirement of China Guideline for Type 2 Diabetes （2013 edition）.