摘要
目的:了解某三级甲等医院住院高血压患者抗高血压药的应用情况,为临床用药提供参考。方法:采取分层随机抽样方法,选定沈阳市一所三级甲等医院,随机抽取2010年3月—2012年4月住院高血压患者200例,提取病历中抗高血压药应用信息,计算抗高血压药的用药频率(DDDs)、限定日费用(DDC)及药物利用指数(DUI)。结果:抗高血压药使用例次最高的药品为美托洛尔;DDDs排序居前3位的药品分别为硝苯地平、咪达普利、替米沙坦;DDC排序居前3位的药品分别为艾司洛尔、贝尼地平、阿罗洛尔;DUI接近1的药品为氨氯地平、缬沙坦和阿罗洛尔。结论:某三级甲等医院住院高血压患者抗高血压药应用情况较好,但个别药物存在不合理应用现象。
OBJECTIVE:To investigate the utilization of antihypertensive drugs in the inpatients with hypertension in a three-A level hospital for clinical reference of rational drug use.METHODS:By a stratified random sampling,a total of 200 hospitalized patients with hypertension were randomly selected from a three-A hospital in Shenyang from March 2010 to April 2012,with the utilization data of antihypertensive drugs extracted from medical records for analysis with regard to DDDs,DDC and drug utilization index(DUI).RESULTS:Metoprolol took the lead in terms of frequency of use.Esmolol,benidipine and aronixil dominated the first 3 places in terms of DDDs.The drug utilization index(DUI) for amlodipine,valsartan,and arotinolol were approximately equal to 1.CONCLUSION:The utilization of antihypertensive drugs for the inpatients with hypertension in this three-A hospital level was rational on the whole;however,certain antihypertensive drug was used irrationally.
出处
《中国医院用药评价与分析》
2012年第11期996-999,共4页
Evaluation and Analysis of Drug-use in Hospitals of China