原发性高血压住院患者用药情况调查与分析

目的：通过病历调查原发性高血压患者药物治疗情况，探讨其用药特点及合理性。方法：以抽取某三甲医院2005～2006年，第一诊断为原发性高血压的患者出院病历150份，统计分析用药情况。结果：复方制剂、钙拮抗药、血管紧张素转换酶抑制药、利尿降压药、β受体阻断药为本次调查中主要的降压药物。其中使用频率高的药物主要有复方降压片89例（59．3％），硝苯地平65例（43．3％），卡托普利50例（33．3％），北京降压0号43例（28．7％）。联合用药占66．0％，且以二联为主。治疗并发症中，治疗心衰等心血管疾病的药物共404例次（404／150），平均每例用此类药2．7种。治疗并发症用药频率最高为改善脑功能药物93例（62．0％）。结论：高血压患者的用药基本符合《中国高血压防治指南》的原则，但在联合用药中存在重复用药的情况，复方制剂有滥用的倾向。

Investigation and Analysis of Drug Usage on Primary Hypertension Inpatients

Objective:To explore the speciality and reasonableness of the drug usage on inpatients of primary hyperfension.Meth- od:One hundred and fifty discharged records of primary hypertention inpatients were investigated in 2005-2006 randomly.Result: The main decreased hypentension dnugs were compound preparations,calcium antagonists,CIEA,beta receptors blocked drugs,diu- retic drugs.The high frequency of drug usage were compound decreased pressue tablet 89 cases(59.3%),nifedepine 65 cases (43.3%),captopril 50 cases(33.3%),Beijing decreased pressue No:zero 43 cases(28.7%).combined drug usage 66.0%.The drug usage in the treatment of cardiac failure and orther cardiovascular complications were 404 eases/once,the average complication drug usage of every case was 2.7 kinds.93 cases used the druge of improve brain functions(62.0%).Conclusion:The drug usage of hypertension patients are rational hasically,but in the bonbined usage has repeated use and abuse.