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
8期
725-727
,共3页
糖皮质激素类药物%门急诊处方%用药分析
糖皮質激素類藥物%門急診處方%用藥分析
당피질격소류약물%문급진처방%용약분석
Glucocorticoids%Outpatient and emergency prescriptions%Analysis of drug use
目的：分析我院门急诊糖皮质激素类药物的使用情况，为临床合理用药提供参考。方法：抽取我院2011-2013年的门急诊处方共计371990张，对糖皮质激素类药物的使用情况包括用药途径、临床科室、针对疾病及用药合理性等进行分析。结果：糖皮质激素类药物在我院门急诊使用广泛，2011-2013年使用率分别为10.21％、9.64％和7.58％，其中儿科使用频率最高，分别为53.59％、48.54％和46.35％；用药途径以注射给药为主，其次为口服、吸入给药；主要用于治疗呼吸系统疾病；不合理处方比例分别为14.75％、11.86％和9.92％，存在问题主要是诊断不完善、超适应证使用。结论：我院门诊糖皮质激素类药物使用情况逐年改善，但仍有部分处方存在滥用现象，应引起医药人员的高度重视，以促进临床合理用药。
目的：分析我院門急診糖皮質激素類藥物的使用情況，為臨床閤理用藥提供參攷。方法：抽取我院2011-2013年的門急診處方共計371990張，對糖皮質激素類藥物的使用情況包括用藥途徑、臨床科室、針對疾病及用藥閤理性等進行分析。結果：糖皮質激素類藥物在我院門急診使用廣汎，2011-2013年使用率分彆為10.21％、9.64％和7.58％，其中兒科使用頻率最高，分彆為53.59％、48.54％和46.35％；用藥途徑以註射給藥為主，其次為口服、吸入給藥；主要用于治療呼吸繫統疾病；不閤理處方比例分彆為14.75％、11.86％和9.92％，存在問題主要是診斷不完善、超適應證使用。結論：我院門診糖皮質激素類藥物使用情況逐年改善，但仍有部分處方存在濫用現象，應引起醫藥人員的高度重視，以促進臨床閤理用藥。
목적：분석아원문급진당피질격소류약물적사용정황，위림상합리용약제공삼고。방법：추취아원2011-2013년적문급진처방공계371990장，대당피질격소류약물적사용정황포괄용약도경、림상과실、침대질병급용약합이성등진행분석。결과：당피질격소류약물재아원문급진사용엄범，2011-2013년사용솔분별위10.21％、9.64％화7.58％，기중인과사용빈솔최고，분별위53.59％、48.54％화46.35％；용약도경이주사급약위주，기차위구복、흡입급약；주요용우치료호흡계통질병；불합리처방비례분별위14.75％、11.86％화9.92％，존재문제주요시진단불완선、초괄응증사용。결론：아원문진당피질격소류약물사용정황축년개선，단잉유부분처방존재람용현상，응인기의약인원적고도중시，이촉진림상합리용약。
OBJECTIVE:To investigate the use of glucocorticoids in outpatient and emergency department of our hospital so as to provide reference for clinical rational use of drugs. METHODS:371 990 outpatient and emergency prescriptions during 2011-2013 period in our hospital were collected for analysis of the use of glucocorticoids with regard to the route of administration,distri-bution of clinical departments,diagnosis of diseases and rationality of drug use. RESULTS:Glucocorticoids were widely used in outpatient departments,accounting for 10.21%,9.64% and 7.58% respectively from 2011 to 2013,and which were used most fre-quently in the department of pediatrics,with rates of 53.59%,48.54% and 46.35% respectively. The glucocorticoids were used chiefly by route of injection,followed by oral administration and inhalation administration,and which were mainly used for treat-ment of respiratory diseases. The irrational prescriptions accounted for 14.75%,11.86%and 9.92%respectively,and the irrationali-ty manifested mainly as incomplete diagnosis and off-label use. CONCLUSIONS:The use of glucocorticoids in the outpatient and emergency department improved year by year;however,abuse of glucocorticoids was still noted,which calls for attention of medi-cal personnel and pharmacists so as to promote rational drug use in clinic.
