摘要
目的:了解社区门诊病人应用高血压药物的现状和合理性。方法:对2009年10月1日-2009年12月31日杭州市企业退休人员门诊医疗服务中心定海路门诊部接诊的门诊病历作回顾性调查分析,共收集到高血压病例540例。调查内容包括:用药种类、用药方式、用药频度(DDD s)、日均费用(DDD c)。结果:社区高血压病人用药方式以单独用药为主占74.26%(401/540),其中单独应用钙离子拮抗剂类(CCB)药物的有37.96%(205/540)。用药频度(DDD s)较高的前3位药物分别为珍菊降压片、非洛地平、氨氯地平。日均费用(DDD c)较高的前3位药物分别是氯沙坦、雷米普利、缬沙坦。药品消耗金额前3位的是非洛地平、厄贝沙坦、氨氯地平。结论:CCB在社区门诊高血压病人的用药中占主导地位;复方制剂由于费用较低,在社区有一定需求。
Objective To investigate the statistical rankings of antihypertensive agents used for outpatients in urban community clinics.Methods A retrospective analysis of 540 case histories of hypertensive patients in urban community clinic for the retire people in the enterprises of Hangzhou between October 1 and December 30,2009.The scope of the investigation included antihypertensive agents,prescription methods,defined daily doses（DDDs） and defined daily consumption（DDCs）.Results The prescription method in urban community clinics was mainly with single drug therapy,which ranked 74.26%（401/540）of the total cases recorded,among which single calcium antagonists（CCB） drugs represented the greatest share,comprising 37.96%（205/540） of the total.The DDD of Zhenju jiangya pian,flodipine and amlodipine ranked in the first three places for number of prescriptions issued.The DDC of losartan,ramipril and valsartan ranked in the first three places for drugs used.In regards to cost,flodipine,irbesartan and amlodipine ranked in the first three places.Conclusion The CCB drugs are in the greatest use in the application of antihypertensive agents in the communities studied.There is also some needs for complex drugs,but with lower defined daily consumption.
出处
《中国农村卫生事业管理》
2010年第5期338-340,共3页
Chinese Rural Health Service Administration
