实施重点监控药品管理措施对促进临床合理用药的应用效果分析.pdfVIP

·456· 药品评价 Drug Evaluation 2021,18（08） 实施重点监控药品管理措施对促进临床合理用药的 应用效果分析 黄狄娜 普宁市人民医院，广东  普宁  515300 ［摘要］目的：建立重点监控药品管理制度，探索其对临床合理用药的应用效果。方法 ：选择2018年10月到2019年6 月（实施重点监控药品管理措施之前）及2019年7 月到2020年3月（实施重点监控药品管理措施之后）被纳入普宁 市人民医院重点监控管理的能量及营养成分补充药物、免疫增强剂、脑循环与促智药、质子泵抑制剂、活血化瘀类药物、 中药注射剂、抗肿瘤辅助药等多类共计32种药品使用的合理率进行分析评价。结果 ：相比进行药物重点监控前，质子 泵抑制剂合格使用率提升19.4%，活血化瘀药合格使用率提升25.2%，改善脑代谢药合格使用率提升7.3%，心肌保护 P 剂合格使用率提升19.9%。且管理后，4类药物平均每月使用金额均较管理前显著降低（ 0.05）。结论 ：建立重点监 控药品管理制度具有临床有意义，能促进临床合理用药。 ［关键词］药物疗法管理;处方不当;重点监控药品管理；合理用药；应用效果 DOI: 10.19939/ki.1672-2809.2021.08.03 Analysis of the Effect of Implementing Key Monitoring Drug Management Measures on Promoting Clinical Rational Use of Drugs HUANG Dina Puning Peoples Hospital, Puning Guangdong 515300, China. [Abstract] Objective: To establish a key monitoring drug management system and explore its effect on clinical rational use of drugs. Methods: Selection October 2018 to June 2019 (before the implementation of key monitoring drug management measures) and July 2019 to March 2020 (after the implementation of key monitoring drug management measures) were included in Puning Peoples Hospital focused on monitoring and management of energy and nutritional ingredients supplement drugs, immune enhancers, cerebral circulation and nootropic drugs, proton pump inhibitors, blood circulation and blood stasis drugs, traditional Chinese medicine injections, anti-tumor adjuvants, and a total of 32 drugs use reasonable rates for analysis and evaluation. Results: Compared with the prior drug monitoring, the qualified use rate of proton pump inhibitors increased by 19.4%, the qualified use rate of blood-activating drugs to remove blood stasis increased by 25.2%, the qualified use rate of drugs for improving brain metabolism increased by 7.3%, and the qualified use rate of cardioprotective agents increased by 19.9%. And after adm