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目的分析社区高血压病患者合理用药咨询资料,了解高血压病治疗中的问题,旨为开展社区药学服务提供依据。方法分析2014年1月-2016年12月社区高血压病患者合理用药咨询资料。结果共接纳咨询者215例次,咨询内容涉及常用高血压药种类,咨询内容涉及面较广泛,其中药理知识中以联合用药68例次(21.32%),药理机制55例次(17.24%)和药物不良反应52例次(16.30%)的持续频率较高。从中发现产生的药物不良反应以浮肿32例次(24.06%)和咳嗽28例次(21.05%)多见。产生药物不良反应的药物中钙离子拮抗剂52例次(39.10%)和肾素血管紧张素转换酶抑制剂36例次(27.07%)比例较高。引起药物不良反应主要原因或许由于固定服用某药时间过长62例次(20.06%),联合用药不当55例次(17.80%)。随意更换或停用药物(12.30%)等不合理用药情况及咨询者缺少药物说明书参阅率偏低(36.28%)和缺少接受相关合理用药知识有关。结论社区高血压病患者存在诸多不合理用药状况从而影响病情控制,倡导合理用药相关的药学服务势在必行。
Objective To analyze the information of rational use of drugs in patients with hypertension in community to understand the problems in the treatment of hypertension and provide the basis for carrying out community pharmacy services. Methods From January 2014 to December 2016, community-based hypertensive patients were used for rational drug counseling. Results A total of 215 cases were consulted. The contents of the consultation covered a wide range of commonly used types of hypertension drugs. Among them, 68 cases (21.32%) were combined with pharmacological knowledge and 55 cases (17.24%) were pharmacological agents 52 cases of adverse drug reactions (16.30%) sustained higher frequency. The adverse drug reaction was found to be more common in 32 cases (24.06%) of edema and 28 cases (21.05%) of cough. There were 52 cases (39.10%) of calcium antagonists and 36 cases (27.07%) of renin angiotensin converting enzyme inhibitors in the drugs that produced adverse drug reactions. The main cause of adverse drug reactions may be due to a long time taking a drug fixed 62 times (20.06%), improper combination of 55 cases (17.80%). Unreasonable drug use (12.30%) and the lack of appropriate instructions on drug replacement or counseling (42.28%), and the lack of acceptance of relevant knowledge of rational drug use. Conclusion There are many unreasonable medical conditions in patients with hypertension in community to affect the disease control, and it is imperative to advocate rational drug-related pharmaceutical services.