苏北某中医院糖尿病门诊口服降糖药使用情况分析.pdfVIP

苏北某中医院糖尿病门诊口服降糖药使用情况分析 * 刘平平（盐城卫生职业技术学院，江苏盐城 224005） 中图分类号 R969.3；R287 文献标志码 A 文章编号 1672－2124（2014）06－0536-03 摘 要 目的：了解苏北某中医院西药房门诊糖尿病的用药现状及趋势。方法：随机抽取该院2012年西药门诊处方34159张，统 计其中的降糖药处方，调查口服降糖药的使用情况。结果：在1267张糖尿病患者处方中，单纯使用口服降糖药的处方有978张， 其中口服药单用占61.86％，两联用药占28.53％，三联用药占6.85％。结论：疗效确切和不良反应少的药物得到了广泛应用，联合 用药的方式基本合理，但单用药情况普遍，应针对个体化加强合理联合用药。 关键词 降糖药；调查分析；处方习惯；合理用药 Utilization of Oral Hypoglycemic Drugs in Diabetic Outpatients in North Jiangsu LIU Ping-ping（Yancheng Vocational Technical Institute of Health Sciences ，Jiangsu Yancheng 224005，China） ABSTRACT OBJECTIVE ：To investigate the status quo and tendency of the utilization of hypoglycemic agents in diabetic outpa- tients in a hospital of traditional Chinese medicine in North Jiangsu. METHODS ：We randomly collected 34 159outpatient prescrip- tions of western medicine in the hospital in 2012 for statistical analysis of the hypoglycemic prescriptions in order to investigate the utilization of oral hypoglycemic agents. RESULTS ：A total of 1 267 diabetic outpatient prescriptions were noted ，of which ，978 were prescriptions of simple oral hypoglycemic drugs ，with single oral hypoglycemic agent in 61.86％，joint use of two oral hypo - glycemic agents in 28.53％and joint use of three oral hypoglycemic agents in 6.85％. CONCLUSIONS ：The hypoglycemic agents with confirmed efficacy and good safety gained widespread clinical application. The drug combination of hypoglycemic agents was rational on the whole yet more of which were use singly. It is advisable to strengthen rational combined use of hypoglycemic agents aimed at individual characteristics. KEYWORDS Hypoglycemic drugs ；Investigation and analysis；Prescription habit；Rational use of drug 经验而定。至于个别住院期间未做细菌培养而仅凭经验用药 到6.45％，抗菌药物占所有药品金额的比例也有明显下降，而 的情况须引起临床医师的重视，须严格按要求执行相关规定 这期间患者数量的增长超过20％，但是也必须意识到存在不 应用时做好细菌培养工作。