马宇虹，皇甫卫忠内蒙古医科大学附属医院老年病科，内蒙古呼和浩特　010000

老年病科住院患者降压药物用药合理性调查

马宇虹，皇甫卫忠
内蒙古医科大学附属医院老年病科，内蒙古呼和浩特010000

目的 探究老年病科住院患者降压药物用药合理性，为临床合理应用降压药物奠定理论基础与保障。方法 该次研究采取回顾性分析法，选择该院老年病科住院患者200例，应用药物利用指数作为主要标准，对老年患者抗血压药物使用情况以及使用抗血压药物用量的合理性进行统计与分析。结果 通过调查分析，钙通道阻滞剂作为临床中常用的降压药物，而临床中老年患者不合理应用降压药物主要表现在四个方面，分别是选择药物不正确、药物联用不正确、重复使用药物、用药方法不正确。结论 老年病科患者降压药物用药问题严重，但是因老年患者个体差异明显，所以在进行治疗的时候需要严格遵循老年患者的实际情况，针对性的选择合理的抗血压药物以及给药方案，从根本上实现老年患者用药个体化阶梯治疗，从而提高治疗效果。

老年病科；抗高血压；用药合理性；调查

DOI：10.16659/j.cnki.1672-5654.2016.11.042

［Abstract］Objective To explore the geriatrics hospital patients with anti hypertension drugs rationality for clinical rational use of anti hypertensive drugs to lay the theoretical foundation and guarantee.Methods This study take retrospective analysis method，200 hospitalized patients in our hospital department of Geriatrics，application of drug utilization index as the main standard，in elderly patients with antihypertensive drug usage and use the dosage of antihypertensive drugs rationality of statistics and analysis.Results Through the investigation and analysis，calcium channel blockers as clinically used antihypertensive drugs，followed by drugs is diuretics，and clinical in elderly patients with unreasonable application of anti hypertension drugs mainly manifested in four aspects，respectively is the drug of choice is not correct，drugs associated with incorrect and repeated use drugs，treatment method is not correct.Conclusion Geriatrics Patients with anti hypertension drugs is a serious problem，but because of individual differences in elderly patients with obvious，so during the time of treatment need to strictly follow the actual situation of the elderly patients，choice on the basis of reasonable antihypertensive drugs and dosing regimens，from the implementation in elderly patients with individualized treatment step treatment，so as to improve the treatment effect.

［Key words］Geriatrics；anti hypertension；Rational drug use；Investigation

高血压是最重要的心血管疾病危险因素之一，随着年龄增长，高血压的患病率随之增高，严重危害着老年人群的生命健康和生活质量。与年轻患者相比，老年高血压在发病机制、临床表现、诊断和预后等方面都有一定的特殊性，个体差异明显，临床治疗高血压需要在控制血压水平的同时改善代谢紊乱，并预防逆转靶器官所造成的不良损害，依据老年患者的不同情况选择合适的降压药物，控制血压成为了备受关注的问题［1］。……