摘要
目的:了解扬州市第一人民医院(以下简称"我院")门、急诊质子泵抑制剂处方的用药合理性及药师审方能力。方法:抽取2014年1—6月我院门、急诊质子泵抑制剂处方1 700张,评价用药指征、用法、剂量、联合用药与配伍等方面的合理性。结果:1 700张处方共使用质子泵抑制剂1 710例次;其中,重复用药处方10张;禁忌证用药处方1张;超说明书适应证用药处方1 485张,占总处方数的87.35%;1日给药次数不符合药品说明书要求的处方995张,占总处方数的58.53%;联合用药不符合药品说明书及相关规范要求的处方400张,占总处方数的23.53%。结论:我院门、急诊质子泵抑制剂的使用存在一定程度的不合理现象,突出问题为适应证掌握不严、1日给药次数与联合用药不合理。药师在审核、调配药品时应严格把关,发现问题及时与医师沟通,共同提高合理用药水平。
OBJECTIVE： To investigate utilization rationality of proton pump inhibitor（ PPI） in prescriptions for outpatients and emergency patients and the prescription evaluation abilities of pharmacists in the First People＇s Hospital of Yangzhou（ hereinafter referred to as ＂our hospital＂）. METHODS： 1 700 prescriptions with PPI in outpatient and emergency department in our hospital from Jan. to Jun. 2014 were selected to evaluate the rationality of indication,usage,dosage,the combination and compatibility of PPI. RESULTS： 1 710 cases of PPI were involved in the 1 700 prescriptions,among which 10 prescriptions were repeatedly used; 1 prescription had violated the contraindication;1 485 prescriptions were over indications,accounting for 87. 35%; 995 prescriptions did not conform to the daily dose of the specifications,accounting for 58. 53%; 400 cases of drug combination were contrary to the drug instructions and relevant specification requirements,accounting for 25. 53%. CONCLUSIONS： The utilization of PPI for outpatientsand emergency patients in our hospital has some irrational problems to some extent,the prominent problems were insufficient knowledge of indications,irrationality of daily dosing frequency and drug combination. The pharmacists should strictly audit and dispense drugs,and communicate with the physician timely when find out the problems,so as to improve the level of rational drug use jointly.
出处
《中国医院用药评价与分析》
2015年第10期1379-1382,共4页
Evaluation and Analysis of Drug-use in Hospitals of China
关键词
质子泵抑制剂
用药分析
药师审方
合理用药
Proton pump inhibitor
Analysis of drug use
Prescription evaluation by pharmacists
Rational drug use
