某“三甲”医院2011-2013年门诊糖皮质激素类药应用分析.pdfVIP

·用药分析· 某“三甲”医院2011—2013 年门诊糖皮质激素类药应用 分析 * 谢陶吟 ，邹素兰（常州市第一人民医院药剂科，江苏常州 213003 ） 中图分类号 R969.3 文献标志码 A 文章编号 1672 －2124 （2014）08 －0717 －04 摘 要 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172 500 张门诊处方，其中糖皮质激素处方22 425 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。 关键词 糖皮质激素；处方；用药分析 Outpatient Utilization of Glucocorticoids in a Three-A Level Hospital During 2011—2013 Period XIE Tao-yin ，ZOU Su-lan （Dept. of Pharmacy ，Changzhou Municipal First People ’s Hospital ，Jiangsu Chang- zhou 213003 ，China ） ABSTRACT 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. KEYWORDS Glucocorticoids ；Prescription ；Drug utilization analysis 糖皮质激素是由肾上腺皮质最中层束状带分泌的一种