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目的了解永宁社区卫生服务中心抗高血压药物应用现状。方法统计永宁社区卫生服务中心2012年1月1日~2014年12月31日门诊处方,对高血压患者报销类型、抗高血压药物的品种、消耗金额、用药频度(defined daily doses,DDDs)、日均费用(defined daily consumption,DDDc)、零差率药品销售等进行分析。结果钙拮抗剂(calciun antagonists,CCB)、血管紧张素Ⅱ受体拮抗剂(angiotensin receptor blocker,ARB)、血管紧张素转换酶抑制剂(angiotensin converting enzyme inhibitors,ACEI)消耗金额分别占前三位。DDDs的前三位分别为CCB、ACEI、ARB类降压药物,而DDDc的前三位为ARB、CCB及ACEI类降压药物。抗高血压药物中零差率药品销售占总销售金额83.91%,新农合患者占高血压病就诊人次50.56%。结论抗高血压药物销售以零差率药品为主,CCB类抗高血压药物在永宁社区卫生服务中心的应用占主导地位。
Objective To understand the status of antihypertensive drugs in Yongning Community Health Service Center. Methods The outpatient prescriptions of Yongning Community Health Service Center from January 1, 2012 to December 31, 2014 were analyzed retrospectively on the types of reimbursement for hypertensive patients, the types of antihypertensive drugs, the consumption amount, defined daily doses (DDDs) , Defined daily consumption (DDDc), and zero-variance drug sales. Results The consumption of calciun antagonists (CCBs), angiotensin receptor blockers (ARBs) and angiotensin converting enzyme inhibitors (ACEIs) accounted for the top three respectively. DDDs are the first three CCB, ACEI, ARB class of antihypertensive drugs, and the first three DDDc ARB, CCB and ACEI class of antihypertensive drugs. Zero-deficit drug sales in antihypertensive drugs accounted for 83.91% of the total sales, and new NCMS accounted for 50.56% of all hypertensive visits. Conclusion Antihypertensive drug sales are dominated by zero-deficit drugs, while CCB antihypertensive drugs dominate the Yongning Community Health Service Center.