A Cross-sectional Survey On The Use Of Antihypertensive Drugs In Patients With Hypertension In The Outpatient Department Of Internal Medicine Of Dongzhimen Hospital

Background:Hypertension as a clinical common and frequently-occurring disease,serious harm to human health,to social and family burden.According to China' s 2007 report estimates of cardiovascular disease,our country has nearly 200 million patients with hypertension and have a higher magnitude in the fast growing every year.And,compared to Western countries,there is a high prevalence of hypertension,low awareness,low treatment rates and low control rates;namely,"Three low and one high" characteristics;while hypertension treatment,often due to need long-term medication,resulting in many patients neglect.The proportion of patients adhere to long-term clinical drug treatment is still low.Purpose:The purpose of this study was to examine the application of antihypertensive drugs in our hospital,including Western medicine,decoction,medicine use,respectively,to discuss the overall population of medication,hospital hypertensive population distribution characteristics,comorbidities,as well as seasonal,age,gender,and other factors affecting different sections of the application of antihypertensive drugs.Methods:This retrospective study used survey methods for analysis of hypertensive patients by prescription Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine in the medical clinic,the cross-sectional study conducted by our hospital information system platform,collecting my hospital outpatient hypertensive patient medication information specific time period,the retrospective analysis of hospital outpatient drug status I patients with hypertension.Extraction survey was conducted in 2013 before and after the summer solstice and the winter solstice two days after two days,ie 21 June 2013 and 22 December,21 December and 22 January.Survey for my hospital outpatient,mainly from cardiovascular medicine outpatient clinic and encephalopathy,as well as a small part from the gastroenterology clinic,kidney and blood endocrinology clinic,oncology clinic,take a retrospective data collection and analysis methods,collect results after,statistics and analysis using SPSS software.Results:Statistical summer and winter of 1643 a total of four days outpatient hypertensive patients,717 were male,43.6%female 926 people,accounting for 56.4%,after two days of summer clinic has 794 people,accounting for 48.3%of winter after two days of 849 outpatients,accounting for 51.7%.In which a total of 809 cardiovascular medicine clinic,accounting for 49.2%,a total of 444 outpatient encephalopathy,accounting for 27.0%,a total of 260 kidney endocrinology clinic,accounting for 15.8%,gastroenterology outpatient total of 43 people,accounting for 2.6%of Hematology and Oncology A total of 87 clinics,accounting for 5.3%.Age<30 years,25 patients,accounting for 1.5%of patients aged 30 to 49 227 people,accounting for 13.8%of patients aged 50 to 69 874 people,accounting for 53.2%,? 70-year-old patients 517 people,accounting for 31.5%.Disease,the patients with hypertension alone 273 people,accounting for 16.6%of patients with hypertension and coronary heart disease,348(21.2%),hypertension and heart failure 74 people,accounting for 4.5%,hypertension and hyperlipidemia 16.7 hyperlipidemia,accounting for 10.2%,hypertension and arteriosclerosis 241 people,accounting for 14.7%of 132 hypertensive patients with arrhythmia,accounting for 8.0%,hypertension and kidney disease(proteinuria)of 137 people,accounting for 8.3%,hypertension and stroke of 76,accounting for 4.6%of 195 hypertensive patients with diabetes,accounting for 11.9%.In the overall population,the application of a variety of different drugs,and statistically significant,medicine,the application of ACEI/ARB class of antihypertensive drugs in patients with 470(28.6%),the application of ?-blocker class of antihypertensive there are 244 drug patients(14.9%),the application of CCB classes of antihypertensive drugs in patients with 582(35.4%),diuretics in 23 patients,accounting for 1.4%of 217 patients with compound preparation,accounting for 13.2%.Application of Chinese medicine in patients with 147 people,accounting for 8.9%of patients treated him for the medical application of 768 people,accounting for 46.7%.In addition,different factors have different effects on the analysis of antihypertensive drugs.Conclusion:1.My drug use statistics outpatient hospital patients with hypertension,there are all kinds of differences in the proportion of drug use,and the difference was statistically significant,generally speaking,CCB class,ARB class of drugs applied more widely.2.In this experiment,gender,treatment time had no effect on the choice of antihypertensive medications,age,treatment departments,various complications affecting the choice of antihypertensive drugs.3.Our hospital is more in line with guidelines recommend treatment of hypertension medication options.