【摘要】 目的探讨2018年北京市16个区125家社区卫生服务中心门诊处方高血糖用药情况。方法集中抽取2018年北京市16个区125家社区卫生服务中心门诊处方63 488张,其中高血糖处方量为5 651张,仅次于慢性病高血压。现对慢性病高血糖用药情况进行汇总分析,按抗高血糖药物方数量占比及金额排序,并对联合用药及糖尿病并发症情况进行分析。结果糖尿病患者用药中,处方排序居第一位的为阿卡波糖,占处方量的29.4%,销售金额占降糖药的42.9%;其次为二甲双胍,占处方量的27.5%,销售金额占降糖药的14.5%。结论社区卫生服务中心门诊处方中糖尿病用药情况相对合理,但应遵循指南重视二甲双胍的使用。更多还原

【Abstract】 Objective To explore the use of prescription high blood sugar in outpatient clinics of 125 community health service centers in 16 districts in Beijing in 2018. Methods A total of 63,488 outpatient prescriptions of 125 community health service centers in 16 districts in Beijing in 2018 were collected, of which 5,651 prescriptions for high blood sugar which was second only to chronic hypertension, were collected. The situation of hyperglycemia medications for chronic diseases was summarized and analyzed. Sort by the proportion and amount of anti-hyperglycemia drug prescriptions, we analyzed the combination of drugs and diabetes complications. Results Among the medications used by diabetics, acarbose ranked first in prescriptions, accounting for 29.4% of the total prescriptions, and its sales amount accounted for 42.9% of the hypoglycemic drugs; followed by metformin,accounting for 27.5% of the total prescriptions, and its sales amount accounted for 14.5% of the hypoglycemic drugs. Conclusion The diabetes medication in the outpatient prescription of the community health service center is relatively reasonable, but they should follow the use of metformin.更多还原