[1]马玉洁,申学谦,熊绪臣,等.北京市四家社区卫生服务中心抗高血压药处方分析[J].医学信息,2020,33(17):140-142.[doi:10.3969/j.issn.1006-1959.2020.17.040]
　MA Yu-jie,SHEN Xue-qian,XIONG Xu-chen,et al.Analysis of Antihypertensive Drug Prescriptions in Four Community Health Service Centers in Beijing[J].Medical Information,2020,33(17):140-142.[doi:10.3969/j.issn.1006-1959.2020.17.040]
点击复制

北京市四家社区卫生服务中心抗高血压药处方分析()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年17期
页码:
140-142
栏目:
调查分析
出版日期:
2020-09-01

文章信息/Info

Title:
Analysis of Antihypertensive Drug Prescriptions in Four Community Health Service Centers in Beijing
文章编号:
1006-1959（2020）17-0140-03
作者:
马玉洁; 申学谦; 熊绪臣; 等
（1.首都医科大学2016级临床医学专业，北京 100071；2.首都医科大学附属北京安贞医院全科医疗科，北京 100029）
Author(s):
MA Yu-jie; SHEN Xue-qian; XIONG Xu-chen; et al
(1.Majorin Clinical Medicine,Grade 2016,Capital Medical University,Beijing 100071,China;2.Department of General Medicine,Beijing Anzhen Hospital,Capital Medical University,Beijing10029,China)
关键词:
处方分析; 抗高血压药; 合理用药
Keywords:
Prescription analysis; Antihypertensive drugs; Rational drug use
分类号:
R544.1
DOI:
10.3969/j.issn.1006-1959.2020.17.040
文献标志码:
B
摘要:
目的 对北京市大屯社区、甘棠社区、潞城社区、金盏社区四家社区卫生服务中心抗高血压药物门诊处方进行分析，以促进临床合理和规范用药。方法 从北京市四家社区医院（大屯社区、甘棠社区、潞城社区、金盏社区）信息系统中选取2019年12月575张抗高血压药物门诊处方进行研究，分析处方涉及抗高血压药物的名称和种类、用药的频度、单一及联合用药等情况。结果 共收集处方575张，其中使用频次最高的前3位抗高血压药的种类分别为钙离子通道阻滞剂CCB、血管紧张素Ⅱ受体拮抗剂ARB、β受体阻滞剂β-RB；使用量排名前3位的药物分别为氨氯地平、氢氯噻嗪及美托洛尔；处方中46.43%为单一用药，53.57%为二联及二联以上用药；根据《中国高血压防治指南》，联合用药方案中存在4例不合理用药现象。结论 北京市四家社区医院的抗高血压药物处方基本合理，但仍有不合理现象，建议按照临床高血压联合用药的原则和指南开具处方，避免不合理的用药方案。
Abstract:
Objective To analyze the outpatient prescriptions of antihypertensive drugs in four community health service centers in Datun, Gantang, Lucheng, and Jinzhan communities in Beijing, so as to promote reasonable clinical and standardized drug use.Methods From the information system of four community hospitals in Beijing (Datun community, Gantang community, Lucheng community, Jinzhan community), 575 outpatient prescriptions of antihypertensive drugs in December 2019 were selected for research, and the prescriptions related to antihypertensive drugs were analyzed. Name and type, frequency of medication, single and combined medication, etc.Results A total of 575 prescriptions were collected. The top 3 antihypertensive drugs used most frequently were calcium channel blocker CCB, angiotensin II receptor antagonist ARB, and β-receptor blocker β-RB; The top 3 drugs used were amlodipine, hydrochlorothiazide, and metoprolol; 46.43% of prescriptions were single-drugs, 53.57% were double-dose and higher-dose drugs; according to the "Guidelines for the Prevention and Treatment of Hypertension in China", combined there were 4 cases of irrational medication in the medication regimen.Conclusion The prescriptions of antihypertensive drugs in the four community hospitals in Beijing are basically reasonable, but there were still unreasonable phenomena. It was recommended that the prescriptions be prescribed in accordance with the principles and guidelines of clinical hypertension combination drugs to avoid unreasonable medication regimens.

参考文献/References:

[1]中国老年医学研究会内分泌代谢分会,中国毒理学会临床毒理专业委员会,李光伟.老年人多重用药安全管理专家共识[J].中国药物警戒,2018,15(10):627-640.[2]林景怀,杨明娜,韩凤.2016-2017年北京市社区卫生服务中心处方集中抽样分析[J].中国药物经济学,2019(7):44-46,50.[3]黄真华,梁嘉俊.高血压治疗药物处方分析及其监测[J].中国处方药,2019,17(11):53-54.[4]Gu J,Fan Y Q,Bian L,et al.Long-term prescription of beta-blocker delays the progression of heart failure with preserved ejection fraction in patients with hypertension:A retrospective observational cohort study[J].Eur J Prev Cardiol,2016,23(13):1421-1428.[5]刘俊含,施红,奚桓.老年人多重用药问题思考及老年人用药策略建议[J].中国临床保健杂志,2018,21(2):160-163.

更新日期/Last Update: 1900-01-01