我院2017-2019年门诊高血压患者及用药分析

Analysis of Outpatient Hypertension Patients and Drug Use in Our Hospital Furing 2017—2019

目的统计分析我院高血压患者及用药情况,为临床合理使用降压药提供参考。方法从门诊处方管理系统统计分析医院2017—2019年高血压患者总人次,性别、年龄分布,联合用药情况,各种降压药的销售金额、用药频度(defined daily dose system,DDDs)、日均费用(defined daily dose cost,DDDc)。结果高血压患者年龄有年轻化的趋势,50岁以下的高血压患者逐年增多,男性患者占比更高,80岁以上患者女性比男性占比更高。门诊高血压患者逐年增加,使用单种降压药的患者人次也逐年提高,联合使用三种降压药以上的患者比例逐年下降。钙拮抗剂的销售金额一直占比最高,每年的销售金额占比都超过三分之一,且有逐年上升的趋势,血管紧张素Ⅱ受体拮抗剂的销售金额逐年上升,占比逐年提高,血管紧张素转换酶抑制剂在门诊高血压患者中的使用率也一直稳定在前三的位置。结论门诊高血压患者逐年增多,且有年轻化的趋势,钙拮抗剂和血管紧张素Ⅱ受体拮抗剂在门诊高血压患者中用药频度最高,我院门诊的降压药使用比较合理。

Objective Statistical analysis of hypertension patients and drug use in our hospital,to provide reference for clinical rational use of antihypertensive drugs.Methods The total number of patients with hypertension,gender,age distribution,combination medication,consumption sum,defined daily dose system(DDDs)and defined daily dose cost(DDDc)of various antihypertensive drugs in the hospital from 2017 to 2019 were statistically analyzed from the outpatient prescription management system.Results The age of hypertension patients had a trend of younger,the number of hypertension patients under 50 years old was increasing year by year,the proportion of male patients was higher,the proportion of female patients over 80 years old was higher than that of male patients.The number of outpatients with hypertension increased year by year,the number of patients using single antihypertensive drugs also increased year by year,and the proportion of patients using more than three antihypertensive drugs decreased year by year.The sales amount of calcium antagonists have been accounted for the highest,the annual sales amount accounted for more than a third,and a rising trend year by year,angiotensinⅡreceptor antagonist rise year by year,the sales amount of increase year by year,angiotensin converting enzyme inhibitors in the outpatient service utilization in patients with high blood pressure also have been stable during the first three positions.Conclusion The outpatient hypertensive patients increased year by year,and has the trend of younger,calcium channel blockers and angiotensinⅡreceptor antagonist in clinic patients with high blood pressure drug use frequency is highest,our hospital outpatient antihypertensive drug use is more reasonable.