1398张门诊高龄患者抗高血压药处方用药分析
目的：探讨门诊高龄患者抗高血压药处方用药情况,为合理用药提供参考。方法：选取上海市闵行区古美社区卫生服务中心（以下简称＂我院＂）2017年1—6月门诊高龄患者（年龄≥85岁）抗高血压药处方1 398张,采用用药频度（defined daily dose system,DDDs）和药物利用指数（drug utilization index,DUI）分析法,对高龄患者抗高血压药使用情况进行统计分析。结果：1 398例高龄患者中,85-90岁患者所占比例最大（79.40%,1 110/1 398）;女性患者所占比例（62.80%,878/1 398）高于男性（37.20%,520/1 398）。DD...
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| Published in | 中国医院用药评价与分析 Vol. 17; no. 10; pp. 1391 - 1394 |
|---|---|
| Main Author | |
| Format | Journal Article |
| Language | Chinese |
| Published |
上海市闵行区卫生和计划生育委员会,上海 201199
2017
上海市闵行区古美社区卫生服务中心,上海,201102%上海市闵行区古美社区卫生服务中心,上海 201102 |
| Subjects | |
| Online Access | Get full text |
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| Abstract | 目的：探讨门诊高龄患者抗高血压药处方用药情况,为合理用药提供参考。方法：选取上海市闵行区古美社区卫生服务中心（以下简称＂我院＂）2017年1—6月门诊高龄患者（年龄≥85岁）抗高血压药处方1 398张,采用用药频度（defined daily dose system,DDDs）和药物利用指数（drug utilization index,DUI）分析法,对高龄患者抗高血压药使用情况进行统计分析。结果：1 398例高龄患者中,85-90岁患者所占比例最大（79.40%,1 110/1 398）;女性患者所占比例（62.80%,878/1 398）高于男性（37.20%,520/1 398）。DDDs排序居前3位的抗高血压药种类分别为钙通道阻滞剂、血管紧张素Ⅱ受体阻断剂和β受体阻断剂;DDDs排序居前3位的药品依次为苯磺酸左旋氨氯地平片、缬沙坦胶囊（国产药）和酒石酸美托洛尔片（非国产药）。结论：我院门诊高龄患者抗高血压药的使用基本合理,但也存在一些问题。临床不仅应根据高龄患者的特点选择合适的抗高血压药种类,而且需要考虑药物效能,选择正确的剂量。 |
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| AbstractList | R972+.4; 目的:探讨门诊高龄患者抗高血压药处方用药情况,为合理用药提供参考.方法:选取上海市闵行区古美社区卫生服务中心(以下简称"我院")2017年1—6月门诊高龄患者(年龄≥85岁)抗高血压药处方1398张,采用用药频度(defined daily dose system,DDDs)和药物利用指数(drug utilization index,DUI)分析法,对高龄患者抗高血压药使用情况进行统计分析.结果:1398例高龄患者中,85~90岁患者所占比例最大(79.40%,1110/1398);女性患者所占比例(62.80%,878/1398)高于男性(37.20%,520/1398).DDDs排序居前3位的抗高血压药种类分别为钙通道阻滞剂、血管紧张素Ⅱ受体阻断剂和β受体阻断剂;DDDs排序居前3位的药品依次为苯磺酸左旋氨氯地平片、缬沙坦胶囊(国产药)和酒石酸美托洛尔片(非国产药).结论:我院门诊高龄患者抗高血压药的使用基本合理,但也存在一些问题.临床不仅应根据高龄患者的特点选择合适的抗高血压药种类,而且需要考虑药物效能,选择正确的剂量. 目的：探讨门诊高龄患者抗高血压药处方用药情况,为合理用药提供参考。方法：选取上海市闵行区古美社区卫生服务中心（以下简称＂我院＂）2017年1—6月门诊高龄患者（年龄≥85岁）抗高血压药处方1 398张,采用用药频度（defined daily dose system,DDDs）和药物利用指数（drug utilization index,DUI）分析法,对高龄患者抗高血压药使用情况进行统计分析。结果：1 398例高龄患者中,85-90岁患者所占比例最大（79.40%,1 110/1 398）;女性患者所占比例（62.80%,878/1 398）高于男性（37.20%,520/1 398）。DDDs排序居前3位的抗高血压药种类分别为钙通道阻滞剂、血管紧张素Ⅱ受体阻断剂和β受体阻断剂;DDDs排序居前3位的药品依次为苯磺酸左旋氨氯地平片、缬沙坦胶囊（国产药）和酒石酸美托洛尔片（非国产药）。结论：我院门诊高龄患者抗高血压药的使用基本合理,但也存在一些问题。临床不仅应根据高龄患者的特点选择合适的抗高血压药种类,而且需要考虑药物效能,选择正确的剂量。 |
| Abstract_FL | OBJECTIVE:To probe into the application of antihypertensive drugs for elderly patients in 1398 outpatient prescriptions , so as to provide reference for the rational drug application .METHODS:1398 outpatient prescriptions from elderly patients ( aged ≥85 years old ) admitted from Jan .to Jun.2017 in Shanghai Minhang District Gumei Community Health Center ( hereinafter referred to as "our hospital") were extracted , statistical analysis was conducted on application data of antihypertensive drugs by using defined daily dose system ( DDDs ) and drug utilization index ( DUI).RESULTS:Of the 1398 elderly patients, patients aged 85-90 years old took the lead (79.40%, 1110/1398 ) .The ratio of female patients ( 62.80%,878/1398 ) was higher than the male patients (37.20%,520/1398).The top three antihypertensive drugs ranked by DDDs were respectively calcium channel blockers , angiotensin Ⅱ receptor blockers and β-adrenoceptor blocker .The top three drugs ranked by DDDs were respectively Levamlodipine besylate tablets , Valsartan capsules ( domestic ) and metopolol of tartaric acid ( non-domestic ) .CONCLUSIONS:The application of antihypertensive drugs in outpatients of our hospital is basically rational , yet there are still some irrational problems .The clinic are suppose to take the drug efficacy into consideration and select the rational category and dosage of antihypertensive drugs according to the characteristics of elderly patients . |
| Author | 金蕾;杨耀芳;魏新萍;储继志;陈家仪 |
| AuthorAffiliation | 上海市闵行区古美社区卫生服务中心,上海201102;上海市闵行区卫生和计划生育委员会,上海201199 |
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| Author_FL | CHU Jizhi WEI Xinping YANG Yaofang JIN Lei CHEN Jiayi |
| Author_FL_xml | – sequence: 1 fullname: JIN Lei – sequence: 2 fullname: YANG Yaofang – sequence: 3 fullname: WEI Xinping – sequence: 4 fullname: CHU Jizhi – sequence: 5 fullname: CHEN Jiayi |
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| DocumentTitleAlternate | Analysis on Application of Antihypertensive Drugs for Elderly Patients in 1398 Prescriptions |
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| Keywords | DDDs 高龄患者 用药分析 DUI KEYWORDS Antihypertensive drugs Analysis of drug application 用药频度 药物利用指数 Elderly patients 抗高血压药 |
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| Notes | OBJECTIVE：To probe into the application of antihypertensive drugs for elderly patients in 1398 outpatient prescriptions , so as to provide reference for the rational drug application .METHODS：1398 outpatient prescriptions from elderly patients （ aged ≥85 years old ） admitted from Jan .to Jun.2017 in Shanghai Minhang District Gumei Community Health Center （ hereinafter referred to as ＆quot;our hospital＆quot;） were extracted , statistical analysis was conducted on application data of antihypertensive drugs by using defined daily dose system （ DDDs ） and drug utilization index （ DUI）.RESULTS：Of the 1398 elderly patients, patients aged 85-90 years old took the lead （79.40%, 1110/1398 ） .The ratio of female patients （ 62.80%,878/1398 ） was higher than the male patients （37.20%,520/1398）.The top three antihypertensive drugs ranked by DDDs were respectively calcium channel blockers , angiotensin Ⅱ receptor blockers and β-adrenoceptor blocker .The top three drugs ranked by DDDs were respectively Levamlodipine besylat |
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| PublicationTitle | 中国医院用药评价与分析 |
| PublicationTitleAlternate | Evaluation and Analysis of Drug-use in Hospitals of China |
| PublicationTitle_FL | Evaluation and Analysis of Drug-Use in Hospitals of China |
| PublicationYear | 2017 |
| Publisher | 上海市闵行区卫生和计划生育委员会,上海 201199 上海市闵行区古美社区卫生服务中心,上海,201102%上海市闵行区古美社区卫生服务中心,上海 201102 |
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| Snippet | 目的：探讨门诊高龄患者抗高血压药处方用药情况,为合理用药提供参考。方法：选取上海市闵行区古美社区卫生服务中心（以下简称＂我院＂）2017年1—6月门诊高龄患者（年龄≥85岁）抗高血压药处方1 398张,采用用药频度（defined daily dose system,DDDs）和药物利用指数（drug... R972+.4; 目的:探讨门诊高龄患者抗高血压药处方用药情况,为合理用药提供参考.方法:选取上海市闵行区古美社区卫生服务中心(以下简称"我院")2017年1—6月门诊高龄患者(年龄≥85岁)抗高血压药处方1398张,采用用药频度(defined daily dose system,DDDs)和药物利用指数(drug... |
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| StartPage | 1391 |
| SubjectTerms | 抗高血压药 用药分析 用药频度 药物利用指数 高龄患者 |
| Title | 1398张门诊高龄患者抗高血压药处方用药分析 |
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