首页|全国146家医院高血压合并高尿酸血症/痛风患者临床药物应用现状分析

全国146家医院高血压合并高尿酸血症/痛风患者临床药物应用现状分析

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目的 分析全国 9 个城市的 146 家医院高血压合并高尿酸血症/痛风患者联用降压药物和降尿酸药物的现状,为临床合理用药提供参考。方法 提取 146 家医院 2016 年 1 月至 2022 年 12 月(28 个季度)的高血压合并高尿酸血症/痛风患者的门诊处方相关数据,统计并比较高血压或高尿酸血症/痛风患者和高血压合并高尿酸血症/痛风患者的药物临床应用情况。结果 氨氯地平、硝苯地平和氯沙坦是使用最多的 3 种降压药物。2016 年至 2022 年,非布司他的处方量逐年升高,且 2021 年至 2022 年在不同降尿酸药物中的处方量占比最高。不同地区和科室对联用的药品种类存在不同偏好。结论 全国 146 家医院高血压合并高尿酸血症/痛风患者常用的联用方案为非布司他联合氨氯地平、硝苯地平或氯沙坦,但部分处方仍存在联用β受体阻滞剂等降压药物,可引起血尿酸水平升高。
Current Status of Clinical Drug Use in Patients with Hypertension and Hyperuricemia/Gout in 146 Hospitals in China
Objective To analyze the current status of combined use of anti-hypertensive drugs and uric acid-lowering drugs in patients with hypertension and hyperuricemia/gout in 146 hospitals in nine cities in China,and to provide a relevant reference for rational drug use in the clinic.Methods The outpatient prescription data of patients with hypertension and hyperuricemia/gout in 146 hospitals from January 2016 to December 2022(28 quarters)were extracted,and the clinical application of their medications was statistically analyzed and compared with those of patients with hypertension or hyperuricemia/gout.Results Amlodipine,nifedipine,and losartan were the three most commonly used anti-hypertensive drugs.The prescribing of febuxostat,has been increasing yearly from 2016 to 2022,and it has become the uric acid-lowering drug with the highest prescribing proportion from 2021 to 2022.Preferences for the types of drugs used in combination varied by department and region.Conclusion The commonly used combination regimen is febuxostat combined with amlodipine,nifedipine,or losartan for patients with hypertension and hyperuricemia/gout in 146 hospitals in China.However,there are still some prescriptions combining with anti-hypertensive medications such as β-receptor blockers,which can cause elevated levels of blood uric acid.

hypertensionhyperuricemiadrug combinationprescription analysis

张臣宇、赵梦男、胥昕怡、王棋、李玉文、徐珽

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四川大学华西药学院,四川 成都 610041

四川大学华西医院,四川 成都 610041

四川省成都市公共卫生临床医疗中心,四川 成都 610000

高血压 高尿酸血症 联合用药 处方分析

国家重点研发计划项目四川大学华西医院学科卓越发展1·3·5工程项目

2020YFC2008302ZYJC18028

2024

中国药业
重庆市食品药品监督管理局

中国药业

CSTPCD
影响因子:1.369
ISSN:1006-4931
年,卷(期):2024.33(9)
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