KHẢO SÁT TÌNH HÌNH SỬ DỤNG THUỐC TRONG ĐIỀU TRỊ TĂNG HUYẾT ÁP TẠI BỆNH VIỆN ĐẠI HỌC VÕ TRƯỜNG TOẢN NĂM 2019-2020

Abstract

Objectives: (1) Describe some characteristics of patients being treated for hypertension at Vo Truong Toan University Hospital in 2019-2020; (2) Survey on the use of drug groups in the treatment of hypertension by patients at Vo Truong Toan University Hospital in 2019-2020; (3) Evaluation of target blood pressure control results of patients at Vo Truong Toan University Hospital in 2019-2020. Subject and Method: Non-interventional cross-sectional descriptive study on 250 medical records of patients diagnosed with essential hypertension treated at Vo Truong Toan University Hospital. Result: The average age of the patients was 65,42±12,73, the percentage of women was higher than that of men with 41,6%, patients with 2 cardiovascular risk factors accounted for a high proportion with 39,2%, level I hypertension accounts for 39,6%, level II hypertension accounts for 60,4%. The most commonly used drug groups are calcium channel blockers (64,0%), angiotensin II receptor blockers (63,6%). In the calcium channel blocker group, Amlodipine was used the most (66,3%); In the group of ACE inhibitors, Captopril accounts for the highest proportion (81,0%); In the group of angiotensin II receptor antagonists, Losartan accounts for a high percentage (97,0%). Patients prescribed a combination regimen of 2 drugs account for a large proportion (52,0%); Among them, the combination between two groups of calcium channel blockers and angiotensin II receptor inhibitors accounts for the highest proportion (33,8%). In the monotherapy regimen, the angiotensin II receptor blocker group accounts for the highest proportion (49,6%). After treatment, target blood pressure was quite high (96,0%), the rate of target blood pressure was higher in female patients than in male patients with 42,4%; Patients < 50 years old and without cardiovascular risk factors all achieved 100,0%. Conclusion: All drugs indicated for use in the study sample are in the list of antihypertensive drugs as recommended by the Vietnam Heart Association, the rate of using multi-drug regimens is higher than the rate of using antihypertensive drugs monotherapy. The combination of drugs in treatment contributes to improving blood pressure index and good treatment results.