中国医院用药评价与分析
中國醫院用藥評價與分析
중국의원용약평개여분석
Evaluation and Analysis of Drug-Use in Hospitals of China
2015年
9期
1209-1211,1212
,共4页
抗高血压药%处方%用药频度%用药分析
抗高血壓藥%處方%用藥頻度%用藥分析
항고혈압약%처방%용약빈도%용약분석
Anti-hypertensive%Prescriptions%DDDs%Analysis of drug use
目的：了解云南省第一人民医院（以下简称“我院”）门诊口服抗高血压药的使用情况及趋势，为临床合理用药提供参考。方法：收集我院门诊2014年43680张处方，采用Excel软件，对患者资料和处方中口服抗高血压药的品种、用量、销售金额、用药频度、限定日费用等进行统计分析。结果：高血压病患病率随年龄增长而增加；43680张处方中，应用抗高血压药处方11820张，占27.06％；抗高血压药销售金额为215.04万元，占抽查处方总金额（1480.2万元）的14.53％。销售金额和使用频次排序居前3位的抗高血压药种类为钙通道阻滞剂、血管紧张素Ⅱ受体阻断剂、β受体阻断剂；抗高血压药联合应用率为39.80％，其中以二联用药为主。厄贝沙坦片与苯磺酸氨氯地平片的销售金额、用药频度排序均居第1、2位，其B／A均为1，说明其销售金额与用药频度的同步性好。结论：我院门诊口服抗高血压药的使用基本合理，符合抗高血压药的用药原则。
目的：瞭解雲南省第一人民醫院（以下簡稱“我院”）門診口服抗高血壓藥的使用情況及趨勢，為臨床閤理用藥提供參攷。方法：收集我院門診2014年43680張處方，採用Excel軟件，對患者資料和處方中口服抗高血壓藥的品種、用量、銷售金額、用藥頻度、限定日費用等進行統計分析。結果：高血壓病患病率隨年齡增長而增加；43680張處方中，應用抗高血壓藥處方11820張，佔27.06％；抗高血壓藥銷售金額為215.04萬元，佔抽查處方總金額（1480.2萬元）的14.53％。銷售金額和使用頻次排序居前3位的抗高血壓藥種類為鈣通道阻滯劑、血管緊張素Ⅱ受體阻斷劑、β受體阻斷劑；抗高血壓藥聯閤應用率為39.80％，其中以二聯用藥為主。阨貝沙坦片與苯磺痠氨氯地平片的銷售金額、用藥頻度排序均居第1、2位，其B／A均為1，說明其銷售金額與用藥頻度的同步性好。結論：我院門診口服抗高血壓藥的使用基本閤理，符閤抗高血壓藥的用藥原則。
목적：료해운남성제일인민의원（이하간칭“아원”）문진구복항고혈압약적사용정황급추세，위림상합리용약제공삼고。방법：수집아원문진2014년43680장처방，채용Excel연건，대환자자료화처방중구복항고혈압약적품충、용량、소수금액、용약빈도、한정일비용등진행통계분석。결과：고혈압병환병솔수년령증장이증가；43680장처방중，응용항고혈압약처방11820장，점27.06％；항고혈압약소수금액위215.04만원，점추사처방총금액（1480.2만원）적14.53％。소수금액화사용빈차배서거전3위적항고혈압약충류위개통도조체제、혈관긴장소Ⅱ수체조단제、β수체조단제；항고혈압약연합응용솔위39.80％，기중이이련용약위주。액패사탄편여분광산안록지평편적소수금액、용약빈도배서균거제1、2위，기B／A균위1，설명기소수금액여용약빈도적동보성호。결론：아원문진구복항고혈압약적사용기본합리，부합항고혈압약적용약원칙。
OBJECTIVE:To investigate the application situation and tendency of oral anti-hypertensive drugs of outpatients in the First People's Hospital of Yunnan Province ( hereinafter referred to as “our hospital”) , and to provide reference for the rational drug use in clinic .METHODS:43680 outpatient prescriptions in our hospital in 2014 were collected, Excel software was adopted to statistically analyze the general information of patients , the varieties, quantity, consumption sum, daily defined doses(DDDs) and defined daily cost(DDC)of oral anti-hypertensive drugs. RESULTS:Incidence of hy-pertension increased with the increase of age .Of the 43 680 outpatient prescriptions , 11 820 prescriptions used anti-hypertensive drugs , accounting for 27.06%;the consumption sum of anti-hypertensive drugs were 2.150 4 million yuan, accounting for 14.53%of the total amount of sampled prescriptions (1 4.802 million yuan).According to the ranking of consumption sum and the use frequency , the top 3 places were in turn calcium antagonist(CCB), angiotensinⅡreceptor antagonist(ARB) andβreceptor blocking agents(β-RB).The combination use rate of anti-hypertensive drugs was 39.8%, mainly with double combination of drugs .The consumption sum and DDDs of Irbesartan tablets and Amlodiping besylate tablets respectively dominated the first and second place ,with order ratio of 1 for both drugs , which indicated the good synchronization between consumption sum and DDDs . CONCLUSIONS:The application of anti-hypertensives drugs was basically rational in outpatient department of our hospital , which in line with the current oral anti-hypertensive medication principle .
