顾洪安+陈春凤

摘 要 目的：通過处方调查徐汇区60岁以上社区老年慢性病患者的用药现状。方法：采集2012—2014年徐汇区7家社区卫生服务中心门诊原始电子处方中符合高血压病、冠心病、糖尿病、脑卒中和骨关节退化性疾病5种诊断的电子处方数据，按患者性别、年龄、疾病诊断、处方数、处方金额等项目进行统计分析。结果：符合5种疾病诊断的60岁以上老年患者的处方数在所有处方数中占比为34.1%～41.6%，金额在所有处方金额中占比为36.6%～45.4%；年度处方数和金额排序从高到低均依次为：高血压病、冠心病、糖尿病、骨关节退化性疾病及脑卒中；处方调查结果显示，女性患者多于男性，高血压病、糖尿病处方数随年龄增加而呈递减趋势；冠心病、脑卒中处方数随年龄增加而呈递增趋势；骨关节退化性疾病各年龄段的总处方数无明显差异，但随年龄变化男女处方数呈不同的变化趋势。结论：徐汇区60岁以上老年人是社区主要用药人群，对其用药需求和现状的调查有利于完善相关制度。

关键词 老年人 社区 处方调查

中图分类号：R197.1 文献标志码：A 文章编号：1006-1533（2017）12-0021-03

Investigation of prescriptions of the elderly patients over 60 years old with chronic diseases in Xuhui District， Shanghai

GU Hongan， CHEN Chunfeng

（Lingyun Community Health Service Center of Xuhui District， Shanghai 200237， China）

ABSTRACT Objective： To investigate the status of drug use among the elderly patients over 60 years old in Xuhui District through prescriptions. Methods： The electronic prescription data that conformed to the diagnosis of hypertension， coronary heart disease， diabetes mellitus， stroke and osteoarthritis in the original electronic prescriptions in the outpatient from 2012 to 2014 in Xuhui District were collected from seven community health service centers. Statistical analysis was carried out according to the sex and age of the patients， disease diagnosis， prescription number， amount and other items. Results： The number of prescriptions for the patients over 60 years old with the diagnosis of the 5 diseases in all the number of prescriptions accounted for 34.1%～41.6%， and the proportion of all prescriptions accounted for 36.6%～45.4%. The orders of the number of prescriptions and the amount of money from high to low were： hypertension， coronary heart disease， diabetes， osteoarthritis and stroke. Prescription investigation results showed that the female patients were more than male ones. The number of prescriptions for hypertension and diabetes showed a decreasing trend with increasing age. The number of prescriptions of coronary heart disease and stroke increased with age. There was no significant difference in the total number of prescriptions for degenerative diseases of bone and joint in all age groups. But with the change of age， the number of prescriptions of men and women showed different trends. Conclusion： The elderly over 60 years old in Xuhui District community is the main community drug users whose demand for drugs and the status quo investigation are conducive to the improvement of relevant systems.

KEY WORDS elderly people； community； prescription investigation

上海是我国最早步入老龄化的城市之一。根据上海市民政局、上海市老龄工作委员会办公室和上海市统计局发布的《2012年上海市老年人口和老龄事业监测统计信息》[1]，截止2012年12月31日，上海市60岁及以上老年人口达367. 32万人，占总人口的25. 7%，其中徐汇区60岁以上老年人口24. 40万人，占本地区总人口的26. 6%。老年慢性疾病患病人群是主要用药……