CAJ | 학술논문

目的：评价某“三甲”医院门诊糖皮质激素类药的使用情况，促进临床合理用药。方法：随机抽取该院2011年11月至2013年11月172500张门诊处方，其中糖皮质激素处方22425张，对处方中的药物品种、使用科别、给药途径以及不合理用药情况进行统计分析。结果：糖皮质激素类药在该院门诊使用广泛，处方使用率占13.00％，其中皮肤科使用率达34.00％，且注射用地塞米松磷酸钠的使用率最高（32.32％），给药途径以静脉滴注方式最为常见，不合理处方比例为28.27％。结论：该院门诊糖皮质激素类药还存在不合理使用现象，医药人员应高度重视。
목적：평개모“삼갑”의원문진당피질격소류약적사용정황，촉진림상합리용약。방법：수궤추취해원2011년11월지2013년11월172500장문진처방，기중당피질격소처방22425장，대처방중적약물품충、사용과별、급약도경이급불합리용약정황진행통계분석。결과：당피질격소류약재해원문진사용엄범，처방사용솔점13.00％，기중피부과사용솔체34.00％，차주사용지새미송린산납적사용솔최고（32.32％），급약도경이정맥적주방식최위상견，불합리처방비례위28.27％。결론：해원문진당피질격소류약환존재불합리사용현상，의약인원응고도중시。
OBJECTIVE:To evaluate the outpatient utilization of glucocorticoids so as to promote rational use of glucocorti-coids. METHODS:172 500 outpatient prescriptions from Nov. 2011 to Nov. 2013 were collected randomly from this hospital,of which 22 425 were glucocorticoid prescriptions on which a statistical analysis was performed with regard to drug varieties,depart-ments in which glucocorticoid drugs were used,routes of administration and irrational drug use. RESULTS:Glucocorticoids were widely used in the outpatients,and which were prescribed in 13.00% of the outpatient prescriptions,with dermatological depart-ment topping the list (34.00%) in terms of rate of glucocorticoid use;Dexamethasone Sodium Phosphate for injection was the most frequently used glucocorticoid drug(32.32%);drip infusion was the most common route of administration;the rate of irratio-nal use was 28.27%. CONCLUSIONS:The outpatient utilization of glucocorticoids in this hospital is somewhat irrational,which needs great attention of both physicians and pharmacists.