目的 :了解抗高血压药物在我院心内科应用的现状和趋势。方法 :调查心内科住院首诊为高血压病患者 478例及抗高血压药物使用情况。结果 :6 0岁以上的患者占 46 2 3% ,40～ 6 0岁患者占 48. 95 % ,40岁以下占 4. 8%。高血压Ⅱ期和高血压Ⅲ期患者占 78. 6 6 %。抗高血压药物的应用按使用频次顺序依次为ACE抑制剂 >钙离子拮抗剂 >β 受体阻滞剂 >利尿剂 >α 受体阻滞剂 >血管紧张素Ⅱ受体拮抗剂。其中联合用药占 70 . 71%。结论 :抗高血压药物的使用要做到个体化 ,联合用药应根据病情需要慎重应用 Objective: To understand the status and trends of antihypertensive drugs in our department of cardiology. Methods: To investigate the first diagnosis of cardiology inpatients with hypertension in 478 cases and the use of antihypertensive drugs. Results: 46 2 3% of patients over 6 years old, 48. 95% of patients 40-60 years old and 4.8% of those under 40 years of age. Hypertension stage Ⅱ and hypertension patients accounted for 78.66%. The antihypertensive drugs used according to the frequency of use were ACE inhibitors> calcium antagonists> β blockers> diuretics> α receptor blockers> angiotensin Ⅱ receptor antagonists. The combination of drugs accounted for 70.71%. Conclusion: The use of antihypertensive drugs to be individualized, combined medication should be carefully applied according to the needs of the disease