[关键词]
[摘要]
目的 分析2016-2018年联勤保障部队第900医院军人门诊抗高血压药的使用情况,加强合理用药监督力度。方法 对2016-2018年联勤保障部队第900医院军人门诊抗高血压药的金额和数量情况进行统计分析,并通过限定日剂量(DDD)进行用药频度(DDDs)、日均费用(DDC)以及排序比(B/A)的分析。结果 2016-2018年药品的使用金额和数量呈总体上升趋势,而抗高血压药的使用金额和数量的占比大致呈逐年下降趋势。CCB和ARB的药品使用金额和数量占比数值相近,且始终排在前2位,排序最后的是利尿药。苯磺酸氨氯地平片和缬沙坦胶囊的使用金额、数量始终排序第1、2位;呋塞米片、螺内酯片、氢氯噻嗪片的始终排序靠后。苯磺酸氨氯地平片、缬沙坦胶囊、硝苯地平控释片的DDDs较高。DDC数值排序第1位的是氨氯地平阿托伐他汀钙片。2016-2018年总体情况中B/A值等于1的有苯磺酸氨氯地平片、缬沙坦胶囊、琥珀酸美托洛尔缓释片、厄贝沙坦片、拉西地平片、呋塞米片、酒石酸美托洛尔片,显示较好的同步性。结论 联勤保障部队第900医院抗高血压药品种基本为目前国际上使用的一线抗高血压药,且使用情况符合抗高血压药的用药原则。
[Key word]
[Abstract]
Objective To analyze the utilization of anti-hypertensive drugs in the military outpatient service of the 900th Hospital of Joint Logistics Support Force from 2016 to 2018, to strengthen the supervision of the use of anti-hypertensive drugs and to promote rational drug use. Methods The amount and quantity of anti-hypertensive drugs in military outpatient service were statistically analyzed, and the drug frequency (DDDs), daily cost (DDC), and serial number ratio (B/A) were analyzed by limiting daily dose (DDD) in the military outpatient service of the 900th Hospital of Joint Logistics Support Force from 2016 to 2018. Results From 2016 to 2018, the amount and quantity of drug use showed an overall upward trend, while the proportion of the amount and quantity of anti-hypertensive drug use showed a general downward trend year by year. CCB and ARB had similar proportion of drug use amount and quantity, and always ranked the top two. At the end of the list were diuretics. The amount and quantity of Amlodipine Besylate Tablets and Valsartan Capsules were ranked the first and second. Furosemide Tablets, Spironolactone Tablets, Hydrochlorothiazide Tablets always ranked lower. DDDs of Amlodipine Besylate Tablets, Valsartan Capsules, and Nifedipine Controlled-release Tablets were higher. DDC of Amlodipine Atorvastatin Calcium Tablets was ranked the first. In the overall situation from 2016 to 2018, B/A of Amlodipine Besylate Tablets, Valsartan Capsules, Metoprolol Succinate Sustained-release Tablets, Irbesartan Tablets, Lacidipine Tablets, Fuxamei Tablets, and Metoprolol Tartrate Tablets were equal to 1, showing good synchronization. Conclusion Anti-hypertensive drugs in the military outpatient service of the 900th Hospital of Joint Logistics Support Force are basically first-line anti-hypertensive drugs used in the world at present, and the use conforms to the principle.
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[基金项目]
中医药部门公共卫生服务补助资金项目(财社[2014]76号)