CAJ | 학술논문

目的：分析某医院住院患者抑酸药的应用情况，为临床合理用药提供参考。方法随机抽查该院2012年1月至12月期间住院患者抑酸药使用情况，统计抑酸药消耗数量、金额及科室分布，对用药频度、使用强度、抑酸药使用率、人均费用及适应证等进行统计和分析。结果住院患者抑酸药使用以质子泵抑制剂（PPI）占主导，主要采用静脉给药。内科使用频度占全院的71.75%，涉及消化、呼吸、心内、老年科等；外科占28.25%。住院患者使用率为37.24%，内科以消化、血液肿瘤、呼吸科使用率较高；外科以重症医学室( ICU )、脑外、肝胆等科室为主；人均费用200元以上。结论 PPI在ICU和非ICU患者中使用非常广泛，其使用方式和合理性值得探讨，有待规范。
목적：분석모의원주원환자억산약적응용정황，위림상합리용약제공삼고。방법수궤추사해원2012년1월지12월기간주원환자억산약사용정황，통계억산약소모수량、금액급과실분포，대용약빈도、사용강도、억산약사용솔、인균비용급괄응증등진행통계화분석。결과주원환자억산약사용이질자빙억제제（PPI）점주도，주요채용정맥급약。내과사용빈도점전원적71.75%，섭급소화、호흡、심내、노년과등；외과점28.25%。주원환자사용솔위37.24%，내과이소화、혈액종류、호흡과사용솔교고；외과이중증의학실( ICU )、뇌외、간담등과실위주；인균비용200원이상。결론 PPI재ICU화비ICU환자중사용비상엄범，기사용방식화합이성치득탐토，유대규범。
Objective To analyze the use situation of acid-suppressive drugs in the inpatients so as to provide reference for the clini-cal rational use of drugs. Methods The random check on the use situation of acid-suppressive drugs in the inpatients was monthly conducted from January to June 2012, the consumption quantity, sales amount, department distribution, DDDs, use intensity, utilization rate of acid-suppressive medications, per capita costs and indications were performed the statistics analysis. Resuts In the acid-suppressive drugs use, the proton pump inhibitors ( PPI ) were predominant and mainly adopted the intravenous administration. The percentage of use frequency in internal medicine was 71. 75%, involving the digestion, respiration, cardiology, geriatrics, etc. Surgery was 28. 25%. The inpa-tient utilization rate was 37. 24%. In internal medicine, the digestive, hematological tumor and respiratory departments had the higher use rate of acid-suppressive drugs;surgery was dominated by critical care medicine, brain surgery and hepatobiliary departments. Per capita costs was over 200 Yuan. Conclusion PPI are very widely used in ICU and non-ICU patients, its use mode and rationality deserve to explore and need to be standardized.