南京地区22家医院2006—2008年抗高血压药物利用分析.docVIP

南京地区22家医院2006—2008年抗高血压药物利用分析 凌春燕1 陈其铽2 （1南京大学医学院附属鼓楼医院药剂科，江苏 南京 210008； 2南京医科大学 ，江苏南京210008） 【摘要】　目的：评价南京地区22家医院抗高血压药物的应用情况和发展趋势，为临床用药提供参考；方法：利用金额排序法和用药频度排序法,对南京地区22家医院抗高血压药物用药进行统计、分析；结果：3年来钙通道阻滞药的销售金额呈逐年上升趋势，并与血管紧张素转化酶抑制药（ACEI）居前2位，代表药物为贝那普利和非洛地平及氨氯地平，用药金额与应用频率同步性良好：结论：钙通道阻滞药和ACEI已成为临床用药金额最大的2类抗高血压药物。抗高血压药物主要由钙拮抗剂、ACEI、利尿药、β受体阻断药、血管紧张素酶（AngⅡ）受体拮抗剂用药组成,与国内外用药趋势一致,而Ang Ⅱ受体拮抗剂的市场前景非常看好。 【关键词】抗高血压药物；用药金额；限定日费用；应用分析 Analysis on use of Antihypertensive Drug in Nanjing area 22 hospitals During period 2006—2008 LING Chunyan1，Chen Qite2 （1The Affiliated Drum-Tower Hospital of Medical College of Nanjing University，Nanjing 210008，CHINA，2 Nanjing Medical University，Nanjing 210008，CHINA） ABSTRCT: Object To evaluate the clinical application of Antihypertensive Drug in Nanjing area 22 hospitals for the clinical reference on rational administration. Method Using the amount rank order method and the medication frequency rank order method, carries on the statistics, the analysis to the Nanjing area 22 hospital anti-hypertension medicine medication. Results 3 year calcium channels hinder the medicine the sales amount to assume year by year the trend of escalation, and precedes 2 with blood vessel tense element invertin depressants (ACEI), represents the medicine for shell that Pulley and the non-Luo river horizontal and the ammonia chlorine horizontal. The medication amount and the application frequency synchronism is good. Conclusion Antagonist compound, the ACE inhibitor, the diuretics, beta the acceptor blocks the medicine, Ang ⅡThe acceptor antagonist compound medication composition, is consistent with the domestic external use medicine tendency, but Ang ⅡThe acceptor antagonist compound market prospect favors extremely. KEY WORDS：Anti-hypertension medicine ; Medication amount ; Defines the charge per day ; Applied analysis 高血压是最常见的心血管疾病,2004 年公布的全国居民营养和健康状况调查显示我国成人高血压患病率达18.8 % ,比199年增加31 % ,估计全国有高血压患者1.6 亿。目前我国18 岁以上人群患高血压病达1.6 亿, 而我国对高血压病的知晓率为30.2 % ,治