中国医院用药评价与分析
中國醫院用藥評價與分析
중국의원용약평개여분석
EVALUATION AND ANAL YSIS OF DRUG-USE IN HOSPITALS OF CHINA
2014年
7期
621-623,624
,共4页
心胸外科%出院患者%用药分析%合理用药
心胸外科%齣院患者%用藥分析%閤理用藥
심흉외과%출원환자%용약분석%합리용약
Cardiothoracic surgery department%Discharged patients%Drug analysis%Rational drug use
目的：综合评估某“三甲”医院心胸外科出院患者的用药情况，分析其中存在的问题。方法：采用回顾性方法，将该院2013年1-6月心胸外科605例出院患者的病历分为手术组和非手术组，依据《处方管理办法》《医院处方点评管理规范（试行）》《抗菌药物临床应用指导原则》等相关法律法规和治疗指南，对患者的用药进行评价，对不合理用药情况进行分析。结果：用药医嘱存在少数不合理用药情况，主要表现为适应证不适宜和超说明书用药等。结论：该院用药情况基本合理，手术组用药较规范。临床医师还需加强用药知识的学习，临床药师也应更多地参与患者用药方案的制订，共同提高个体化用药水平。
目的：綜閤評估某“三甲”醫院心胸外科齣院患者的用藥情況，分析其中存在的問題。方法：採用迴顧性方法，將該院2013年1-6月心胸外科605例齣院患者的病歷分為手術組和非手術組，依據《處方管理辦法》《醫院處方點評管理規範（試行）》《抗菌藥物臨床應用指導原則》等相關法律法規和治療指南，對患者的用藥進行評價，對不閤理用藥情況進行分析。結果：用藥醫囑存在少數不閤理用藥情況，主要錶現為適應證不適宜和超說明書用藥等。結論：該院用藥情況基本閤理，手術組用藥較規範。臨床醫師還需加彊用藥知識的學習，臨床藥師也應更多地參與患者用藥方案的製訂，共同提高箇體化用藥水平。
목적：종합평고모“삼갑”의원심흉외과출원환자적용약정황，분석기중존재적문제。방법：채용회고성방법，장해원2013년1-6월심흉외과605례출원환자적병력분위수술조화비수술조，의거《처방관리판법》《의원처방점평관리규범（시행）》《항균약물림상응용지도원칙》등상관법율법규화치료지남，대환자적용약진행평개，대불합리용약정황진행분석。결과：용약의촉존재소수불합리용약정황，주요표현위괄응증불괄의화초설명서용약등。결론：해원용약정황기본합리，수술조용약교규범。림상의사환수가강용약지식적학습，림상약사야응경다지삼여환자용약방안적제정，공동제고개체화용약수평。
OBJECTIVE:To evaluate the drug use in the discharged patients undergoing cardiothoracic surgery in a three-A hospital and analyze the existing problems. METHODS:In this retrospective study,the medical records of 605 patients in cardiothoracic surgery department and discharged from this hospital during Jan.-Jun. of 2013 were assigned to surgery group and non-surgery group,with drug use and the non-rational use of drugs analyzed in accordance with Prescription Management Method,Hospital Prescription Review Management Practices (Trial) ,Guiding Principles for Clinical Use of Antibiotics and other related laws and regulations and treatment guidelines. RESULTS:Non-rational use of drugs was noted in a few cases,which manifested as inappropriate indications and off-label use. CONCLUSIONS:The drug use in this hospital was rational on the whole,and the drug use in the surgical group was standard. However,clinicians should strengthen their learning on medication knowledge,meanwhile,the clinical pharmacists should be actively involved in making dosage regimens for patients contributing to the improvement in the level of individualized therapy.
