CAJ | 학술논문

目的:通过评价金匮肾气片用药现状,为不同年龄段患者合理用药提供参考.方法:采用回顾性分析方法,收集本中心门诊2014年1 – 6月使用金匮肾气片的处方信息,共计268张,分别对患者的年龄、性别、用药情况等进行汇总整理,利用用药频度(DDDs)和药物利用指数(DUI)分析法对相关数据进行分析.结果:我中心各年龄段使用金匮肾气片的DUI在0.97 ~ 1.19;DDDs居于前3位的年龄段为女性60 ~ 74岁,男性75 ~ 89岁和60 ~ 74岁.女性患者处方数所占比例为50.74%.男性各年龄段日均剂量大于DDD值的倍数分别是1.18倍(60 ~ 74岁)、1.12倍(75 ~ 89岁)、1.13倍(≥90岁);女性则是1.19倍(≥90岁).结论:我中心门诊金匮肾气片的应用基本合理,但仍存在用药剂量偏大等情况,应加强对含有毒性中药材中成药的用药监管.
목적:통과평개금궤신기편용약현상,위불동년령단환자합리용약제공삼고.방법:채용회고성분석방법,수집본중심문진2014년1 – 6월사용금궤신기편적처방신식,공계268장,분별대환자적년령、성별、용약정황등진행회총정리,이용용약빈도(DDDs)화약물이용지수(DUI)분석법대상관수거진행분석.결과:아중심각년령단사용금궤신기편적DUI재0.97 ~ 1.19;DDDs거우전3위적년령단위녀성60 ~ 74세,남성75 ~ 89세화60 ~ 74세.녀성환자처방수소점비례위50.74%.남성각년령단일균제량대우DDD치적배수분별시1.18배(60 ~ 74세)、1.12배(75 ~ 89세)、1.13배(≥90세);녀성칙시1.19배(≥90세).결론:아중심문진금궤신기편적응용기본합리,단잉존재용약제량편대등정황,응가강대함유독성중약재중성약적용약감관.
Objective:To provide the evidence of rational drug use for patients in all ages by evaluating the utilization of Jinkui Shenqi tablets. Methods:A total of 268 prescriptions used in outpatients in all ages from January 2014 to June 2014 were collected. The varieties of medication including patients' gender, age, dosage were retrospectively analyzed by defined daily doses (DDDs) and drug utilization index (DUI).Results:The DUIs ofJinkui Shenqi tablets for patients in all ages were in the range of 0.97 – 1.19. The top three groups in terms of DDDs were female younger seniors (60 – 74 years), male seniors (75 – 89 years) and male younger seniors (60 – 74 years). The usage proportion in female patients was higher than that of male patients, accounting for 50.74%. The multiple of average daily dose against DDDs of male in all ages was 1.18 for younger seniors (60 – 74 years), 1.12 for seniors (75 – 89 years) and 1.13 for elder seniors (≥ 90 years) while the multiple of average daily dose against DDDs of female was 1.19 for elder seniors (≥90 years). Conclusion:The application of Jinkui Shenqi tablets was basically rational in our center. But the irrational drug use such as high dosage was still observed, which should be strongly supervised in clinic.