摘要
目的掌握外科病区注射用质子泵抑制剂的应用现状,为临床外科的合理用药提供参考。方法随机抽取该院2014年1—12月外科病区中使用质子泵抑制剂病历1 320份,查阅病程记录及住院医嘱,进行合理性使用统计分析,合理性评价标准为药品说明书及相关文献。结果其中合理应用489例,不合理应用831例,不合理用药占62.9%,不合理用药主要表现在预防用药无指证、预防用药时机不合理或疗程偏长、超说明书用药、联合用药不合理等四个方面。结论该院外科病区质子泵抑制剂的用药情况不合理,医院应建立质子泵抑制剂的使用规范或标准,避免浪费的情况发生,促进合理用药。
Objective To understand the application of proton pump inhibitor in our surgical wards and provide a rational drug use reference for clinical surgery. Methods Randomly select 1320 PPI used medical records from surgical departments of 2014, check the progress notes and medical advices, statistically analyze the PPI use rationality according to the medicine specifications and related documents. Results 489 cases are reasonable, while 831 cases are irrational accounted for 62.9%, such as preventive medicine without evidence, unsuitable opportunity or overlong time drug use, off-label use, unreasonable combination. Conclusion There are many irrational PPI factors in our surgical departments, the hospital should establish a rational PPI use standard and specification to avoid excessive drug use.
出处
《中国卫生产业》
2015年第8期76-77,共2页
China Health Industry
关键词
质子泵抑制剂
合理应用
情况分析
Proton pump inhibitors
Reasonable Application
Situation analysis
