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目的为完善2012版《国家基本药物目录》(以下简称《目录》)的相关建议。方法运用Excel分析工具,根据2003~2013年我国居民疾病谱中最主要的疾病类别,制作统计表和折线图等,对比分析《目录》中相应疾病用药的存在问题。结果按疾病系统分类,居民疾病以感染类疾病为主;按疾病病种分类,高血压成为目前居民患病率最高的疾病。按性别和年龄分类,女性患病率高于男性,儿童和老人为高发病人群。《目录》存在抗感染药品和高血压用药不合理、不适用于儿童等问题。结论建议在充分调查我国疾病谱发展趋势的基础上修订新目录,将药物经济学评价方法应用于基本药物遴选,制定儿童用药基本目录。
The purpose is to improve the 2012 version of the “National Essential Drugs List” (hereinafter referred to as “directory”) of the relevant recommendations. Methods Using Excel analysis tool, according to the most important disease categories in our country residents’ disease spectrum from 2003 to 2013, making statistical tables and line charts, etc., comparative analysis of the existing problems in the “directory” of the corresponding disease medication. The results were classified according to the disease system. Residents’ diseases were mainly infectious diseases. According to the classification of disease diseases, hypertension became the most prevalent disease among residents. By gender and age classification, the prevalence of women than men, children and the elderly as a high incidence of the crowd. “Directory” exists anti-infective drugs and hypertension medication unreasonable, does not apply to children and other issues. Conclusions It is suggested to revise the new catalog on the basis of fully investigating the development trend of the disease spectrum in our country, to apply the method of pharmacoeconomic evaluation to the selection of essential drugs and to formulate the basic list of children’s medication.