激光杂志
激光雜誌
격광잡지
LASER JOURNAL
2011年
4期
77-79
,共3页
高血压%药物治疗%联合用药
高血壓%藥物治療%聯閤用藥
고혈압%약물치료%연합용약
hypertension%medication%drug combination
目的：分析2009年成医附院高血压住院患者降压达标时的用药状况及临床意义。方法：对住院的671例高血压患者在血压达标时所用降压药的情况进行分析。结果：671例患者中联合用药者521例,占用药例数的77.65%,其中两药合用者262例,占用药例数的39.05%,以CCB＋ARB（89例）最常见;三药合用者201例,占用药例数的29.96%,以ACEI/ARB＋CCB＋DA（60例）和ACEI＋CCB＋β-RB（58例）为主;四种药物联合使用共52例,占用药例数的7.75%,常见的是β-RB＋ACEI＋DA＋DA（17例）和β-RB＋ACEI＋CCB＋DA（14例）;五药联合使用共6例,占用药例数的0.89%,为β-RB＋ACEI或ARB＋CCB＋α-RB＋DA。单一药物治疗共150例,占用药例数的22.35%,以用CCB类药物的例数最多（93例）。结论：该院的高血压治疗用药基本符合高血压指南,降压达标多需联合用药,以两药合用最常见,次为三药合用。最常见和有效的联合用药方案为ACEI或ARB＋CCB;ACEI＋CCB＋β-RB;ACEI或ARB＋CCB＋DA。
目的：分析2009年成醫附院高血壓住院患者降壓達標時的用藥狀況及臨床意義。方法：對住院的671例高血壓患者在血壓達標時所用降壓藥的情況進行分析。結果：671例患者中聯閤用藥者521例,佔用藥例數的77.65%,其中兩藥閤用者262例,佔用藥例數的39.05%,以CCB＋ARB（89例）最常見;三藥閤用者201例,佔用藥例數的29.96%,以ACEI/ARB＋CCB＋DA（60例）和ACEI＋CCB＋β-RB（58例）為主;四種藥物聯閤使用共52例,佔用藥例數的7.75%,常見的是β-RB＋ACEI＋DA＋DA（17例）和β-RB＋ACEI＋CCB＋DA（14例）;五藥聯閤使用共6例,佔用藥例數的0.89%,為β-RB＋ACEI或ARB＋CCB＋α-RB＋DA。單一藥物治療共150例,佔用藥例數的22.35%,以用CCB類藥物的例數最多（93例）。結論：該院的高血壓治療用藥基本符閤高血壓指南,降壓達標多需聯閤用藥,以兩藥閤用最常見,次為三藥閤用。最常見和有效的聯閤用藥方案為ACEI或ARB＋CCB;ACEI＋CCB＋β-RB;ACEI或ARB＋CCB＋DA。
목적：분석2009년성의부원고혈압주원환자강압체표시적용약상황급림상의의。방법：대주원적671례고혈압환자재혈압체표시소용강압약적정황진행분석。결과：671례환자중연합용약자521례,점용약례수적77.65%,기중량약합용자262례,점용약례수적39.05%,이CCB＋ARB（89례）최상견;삼약합용자201례,점용약례수적29.96%,이ACEI/ARB＋CCB＋DA（60례）화ACEI＋CCB＋β-RB（58례）위주;사충약물연합사용공52례,점용약례수적7.75%,상견적시β-RB＋ACEI＋DA＋DA（17례）화β-RB＋ACEI＋CCB＋DA（14례）;오약연합사용공6례,점용약례수적0.89%,위β-RB＋ACEI혹ARB＋CCB＋α-RB＋DA。단일약물치료공150례,점용약례수적22.35%,이용CCB류약물적례수최다（93례）。결론：해원적고혈압치료용약기본부합고혈압지남,강압체표다수연합용약,이량약합용최상견,차위삼약합용。최상견화유효적연합용약방안위ACEI혹ARB＋CCB;ACEI＋CCB＋β-RB;ACEI혹ARB＋CCB＋DA。
Objective：To analyze the pharmaceutical choices and clinical significances of antihypertensive drugs for hospitalized patients in First Hospital of Chengdu Medical College in 2009 with hypertension when the blood pressure reaches the normal level.Methods： Utilization of antihypertensive drugs used in 671 hospitalized patients with hypertension when the blood pressure standard were analyzed.Result： 521 Cases in drug combination（77.65%）were obviously higher than 150 cases in single drug（22.35%）.262 Cases in a combination of two drugs（39.05%）were obviously higher than 201 cases（29.96%）in that of three drugs,52 cases（7.75%）in four drugs and 6 cases（0.89%）in five drugs.The main program of single-drug is using CCB;The main program of two-drug is using CCB＋ARB;The main program of three-drug is using β-RB＋CCB＋ACEI and ACEI or ARB＋CCB＋DA;The main program of four-drug and five-drug was β-RB＋ACEI＋DA＋DA and β-RB＋ACEI＋CCB＋DA and β-RB＋ACEI or ARB＋CCB＋α-RB＋DA,respectively.Conclusion： The utilization of the antihypertensive drugs is mostly in accordance with the Hypertension Treatment Guidelines.The treatment for hospitalized patients with hypertension needs drug combination and combination of two drugs is the most type.In the antihypertensives combination,ACEI or ARB＋CCB;ACEI＋CCB＋β-RB;ACEI or ARB＋CCB＋DA are the better choices.
