摘要
目的分析210例住院患者糖皮质激素类药物使用情况及其合理性。方法回顾性分析2018年4月—2020年3月于湛江市第二中医医院采用糖皮质激素类药物治疗的210例住院患者的临床资料,统计糖皮质激素类药物种类、科室分布情况及不合理用药情况。结果210例住院患者糖皮质激素类药物使用率前三的分别为地塞米松磷酸钠注射液,占31.90%,吸入用布地奈德混悬液,占23.33%,醋酸曲安奈德注射液,10.95%;210例住院患者糖皮质激素类药物使用前三的科室分别为骨一科,占34.29%,骨四科,占24.29%,呼吸内科,占19.05%。210例住院患者中存在15例不合理用药现象,不合理用药率为7.14%;不合理用药情况分别为适应证不合理6例(40.00%),用法用量不合理4例(26.67%),联合用药不合理3例(20.00%),遴选药品不合理2例(13.33%)。结论湛江市第二中医医院住院患者糖皮质激素类药物使用多分布于骨科和呼吸内科,仍存在较多不合理现象,需强化监管力度,加强临床医师专业知识培训,以降低不合理用药率,提高院内整体用药水平。
Objective To analyse the use of glucocorticoids in 210 hospitalized patients and its rationality.Methods Clinical data of 210 inpatients treated with glucocorticoids in the Zhanjiang Second Hospital of Traditional Chinese Medicine from April 2018 to March 2020 were retrospectively analyzed,and the types,distribution and irrational drug use of Glucocorticoids were statistically analyzed.Results The top three glucocorticoids in 210 hospitalized patients were Dexamethasone Sodium Phosphate Injection,accounting for 31.90%,Budesonide Suspension for Inhalation,accounting for 23.33%,Triamcinolone Acetonide Acetate Injection,accounting for 10.95%.Among 210 inpatients,the top three departments of glucocorticoids use were the first department of orthopedics,accounting for 34.29%,the fourth department of orthopedics,accounting for 24.29%,the department of respiratory medicine,accounting for 19.05%.There were 15 cases of irrational drug use among 210 inpatients,and the rate of irrational drug use was 7.14%.Irrational drug use included 6 cases of unreasonable indications(40.00%),4 cases of unreasonable usage and dosage(26.67%),3 cases of unreasonable combined drug use(20.00%),and 2 cases of unreasonable drug selection(13.33%).Conclusion The use of glucocorticoids in inpatients of Zhanjiang Second Hospital of Traditional Chinese Medicine was mainly distributed in the department of orthopedics and the department of respiratory medicine,and there were still many irrational situations.Therefore,it is necessary to strengthen supervision and professional knowledge training of clinicians,so as to reduce the rate of irrational use and improve the overall level of drug use in the hospital.
作者
梁雪珍
周辉
刘恒
陈康桂
袁世新
冯应聪
黄晓新
LIANG Xue-zhen;ZHOU Hui;LIU Heng;CHEN Kang-gui;YUAN Shi-xin;FENG Ying-cong;HUANG Xiao-xin(Department of Pharmacy,Zhanjiang Second Hospital of Traditional Chinese Medicine,Guangdong Province,Zhanjiang524013,China;The Second Department of Orthopedics,Zhanjiang Second Hospital of Traditional Chinese Medicine,Guangdong Province,Zhanjiang524013,China;Clinical Pharmacy Department,Zhanjiang Second Hospital of Traditional Chinese Medicine,Guangdong Province,Zhanjiang524013,China;The Second District of the First Department of Internal Medicine,ICU,Zhanjiang Second Hospital of Traditional Chinese Medicine,Guangdong Province,Zhanjiang524013,China;The First and Second District of the First Department of Internal Medicine,Zhanjiang Second Hospital of Traditional Chinese Medicine,Guangdong Province,Zhanjiang524013,China)
出处
《中国当代医药》
CAS
2021年第23期214-217,共4页
China Modern Medicine
基金
广东省湛江市科技计划项目(2019B01190)。
关键词
糖皮质激素
住院患者
使用情况
用药合理性
药物利用
Glucocorticoids
Hospitalized patients
Usage
Rationality of medication
Drug utilization
作者简介
梁雪珍(1980-),女,广东湛江人,副主任药师,研究方向:药事管理方向。
