CAJ | 학술논문

根据上海市杨浦区长白社区卫生服务中心数据库中2009年所有高血压患者使用的降压药物,整理出患者降压治疗方案,剔除所有治疗方案不确定者(包括换药过频方案不确定者及偶尔来本中心就诊尚不能确定方案者),进行统计分析.结果显示,4102例高血压患者药物使用情况为:钙拮抗剂(CCB)占45.6%,血管紧张素转换酶抑制剂(ACEI)占16.0%,血管紧张素受体拮抗剂(ARB)占3.6%,β受体阻滞剂占9.0%,利尿剂4.7%,复方制剂占21.1%.降压方案为:使用单药的占68.0%,二联用药的占29.3%,三联用药的占2.6%,四联用药的占0.1%,其中二联用药方案中以CCB为基础的占75.8%,三联及四联用药方案均以CCB为基础组合而成.提示,本社区门诊高血压患者使用降压药物种类和联合降压方案基本符合国际高血压治疗指南,但是单一降压药物使用比例较高,联合降压的比例仍偏低.
근거상해시양포구장백사구위생복무중심수거고중2009년소유고혈압환자사용적강압약물,정리출환자강압치료방안,척제소유치료방안불학정자(포괄환약과빈방안불학정자급우이래본중심취진상불능학정방안자),진행통계분석.결과 현시,4102례고혈압환자약물사용정황위:개길항제(CCB)점45.6%,혈관긴장소전환매억제제(ACEI)점16.0%,혈관긴장소수체길항제(ARB)점3.6%,β수체조체제점9.0%,이뇨제4.7%,복방제제점21.1%.강압방안위:사용단약적점68.0%,이련용약적점29.3%,삼련용약적점2.6%,사련용약적점0.1%,기중이련용약방안중이CCB위기출적점75.8%,삼련급사련용약방안균이CCB위기출조합이성.제시,본사구문진고혈압환자사용강압약물충류화연합강압방안기본부합국제고혈압치료지남,단시단일강압약물사용비례교고,연합강압적비례잉편저.
The antihypertensive treatment protocols of 4102 patients from the database of Changbai Community Health Service Center of Shanghai Yangpu District were analyzed.Patients with irregular drug treatment were excluded in the study.In 4102 hypertensive patients,45.6% took calcium channel blockers (CCB),16.0% took angiotensin converting enzyme inhibitors ( ACEI),3.6% took AT1-receptor blocker (ARB),9.0% took β-adrenergic receptor blockers,4.7% took diuretics and 21.1% took compound preparation.68% patients were in single-drug protocol,29.3% in two-drug,2.6% in three-drug and 0.1% in four-drug.In patients with two-drug protocol,75.8% was based on CCB; three-drug or four-drug protocols were also based on the combination of CCB.The results indicate that the treatment protocol for hypertensive patients in our community health service center basically meets the requirements of International Society of Hypertension Treatment Guidelines,but the proportion of the single drug use seems to be high,more combination of antihypertensive drug use should by proposed.