摘要
目的:了解常熟市4家重点医院口服抗高血压药的使用情况,为临床合理用药及药品管理提供依据。方法:对2014—2016年4家医院口服抗高血压药的销售金额、用药频度、限定日费用等进行回顾性统计分析。结果:2014—2016年4家医院口服抗高血压药的销售金额分别为3 031.60、3 297.77、3 325.36万元,2015年较2014年增长8.78%、2016年较2015年增长0.84%,3年销售金额合计占西药总销售金额的比例为3.85%(9 654.73万元/250 928.09万元)、占心血管系统用药销售金额的比例为46.20%(9 654.73万元/20 898.86万元);销售金额排序、DDDs排序居第1、2位的为血管紧张素Ⅱ受体阻断剂、钙通道阻滞剂;销售金额排序居前3位的品种为厄贝沙坦、缬沙坦和氨氯地平;DDDs排序居前3位的品种为氨氯地平、厄贝沙坦和左旋氨氯地平;血管紧张素Ⅱ受体阻断剂复方制剂的销售金额和DDDs的年均增长率分别为30.89%和17.17%。结论:常熟市4家医院口服抗高血压药的使用与《中国高血压防治指南(2010年版)》的推荐基本一致,符合目前抗高血压药的使用规律和趋势。
OBJECTIVE： To investigate the application status of oral antihypertensive drugs in four key hospitals in changshu,so as to provide basis for the rational application and management of the drugs. METHODS： Statistically retrospective analysis was conducted on the application data of consumption sum,defined daily dose system（ DDDs）and defined daily cost（ DDC）,etc. RESULTS： The consumption sum of oral antihypertensive drugs were respectively30. 316 0,32. 977 7 and 33. 253 6 million yuan,compared with 2014,the increasing rate in 2015 was 8. 78%;compared with 2015,the increasing rate in 2016 was 0. 84%. The ratio of consumption sum of three years to the total consumption sum of western medicine was 3. 85%（ 96. 5473 million yuan/2 509. 280 9 million yuan）; the ratio of consumption sum of three years to consumption sum of drugs for cardiovascular diseases was 46. 20%（ 96. 547 3 million yuan/208. 988 6 million yuan）. The top two drugs ranked by consumption sum and DDDs were respectively angiotensinⅡreceptor blocking agents（ ARB） and calcium-channel blockers（ CCB）. The top three drugs ranked by consumption sum were respectively irbesartan,valsartan and amlodipine. The top three drugs ranked by DDDs were respectively amlodipine,irbesartan and levamlodipine. The annual increasing rate of consumption sum and DDDs were respectively 30. 89% and 17. 17%. CONCLUSIONS： The application of oral antihypertensive drugs in four key hospitals is basically consistent with Guidelines for Prevention and Treatment of Hypertension in China（ 2010 Edition）,in accordance with the current antihypertensive medication rule and the trend of drug application.
出处
《中国医院用药评价与分析》
2017年第9期1242-1245,1249,共5页
Evaluation and Analysis of Drug-use in Hospitals of China
关键词
口服抗高血压药
销售金额
用药频度
年增长率
用药分析
Oral antihypertensive drugs
Consumption sum
DDDs
Annual increasing rate
Analysis of drug application
