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目的分析上海市静安区三家医疗机构老年患者抗高血压药的应用情况及变化趋势。方法统计分析三家医疗机构2006-2008年老年人抗高血压药用药品种、用药金额、用药频度(DDDs)和日均费用(DDC)。结果三家医疗机构老年人抗高血压药用药金额和DDDs均呈上升趋势。其中钙通道阻滞剂应用最广,其次是血管紧张素Ⅱ受体拮抗剂和血管紧张素转换酶抑制剂。结论三家医疗机构老年人抗高血压药应用基本合理,钙通道阻滞剂、血管紧张素Ⅱ受体拮抗剂应用前景广阔。
Objective To analyze the application and trend of antihypertensives in elderly patients in three medical institutions in Jing’an District of Shanghai. Methods Statistical analysis of antihypertensive drugs, dosage, DDDs and DDC in three medical institutions from 2006 to 2008 were statistically analyzed. Results The amount of antihypertensive drugs and DDDs in the elderly in three medical institutions all showed an upward trend. Calcium channel blockers are the most widely used, followed by angiotensin Ⅱ receptor antagonists and angiotensin converting enzyme inhibitors. Conclusion The application of antihypertensive drugs in the elderly is reasonable in three medical institutions. The application of calcium channel blockers and angiotensin Ⅱ receptor antagonists is promising.