摘要
目的:为促进某院手足外科合理用药,提高医疗质量,减轻经济负担,分析掌握某院手足外科2018年第一季度用药现状和趋势[1],为下一阶段合理控制科室药占比,以及规范合理用药提供方法以及数据支持。方法:通过某院信息管理系统药品统计功能集成平台,收集某院手足外科2018年第一季度药品使用金额排名前10位的药品名称、规格、用药金额等数据进行统计分析,并对其使用合理性进行评价。结果:某院2018年第一季度药品销售金额排序前10位的药品排列顺序为:注射用五水头孢唑林1.0 g、疏血通注射液2 mL×10支、杏芎氯化钠注射液、注射用五水头孢唑林0.5 g、鹿瓜多肽注射液2 mL∶4 mg、复方氨基注射液20AA、注射用亚胺培南+西司他丁、湿润烧伤膏、中/长链脂肪乳以及曲克芦丁脑蛋白水解物注射液。前十名中有九个品种为注射液,注射液占比达90%。结论:某院作为一所三级综合性医院,2018年第一季度辅助类药品用药结构相对合理,但临床科室仍存在无指征使用及超说明书用药现象,提示应当进行适当监管,促进辅助类药物临床安全、有效、经济使用[2]。
Objective:In order to promote the rational use of drugs in hand-foot surgery,improve the quality of medical care and reduce the financial burden of patients,to analyze and grasp the current situation and trend of drug use in hand-foot surgery in the first quarter of2018,and to control the proportion of drugs in hand-foot surgery department reasonably in the next stage,the method and data support of rational drug use in the department are standardized.Methods:The data of the top 10 drugs names,specifications and drug consumption amount in the first quarter of 2018 in the hand-foot Surgery Department of a hospital were collected and analyzed by the integrated platform of drug statistics function of the information management system of a hospital,and the rationality of its use was analyzed and evaluated.Results:the Top 10 drugs in the first quarter were CEFAZOLIN for injection 1.0 g,Shuxuetong injection 2 mL×10 sticks,Xingxiong Sodium chloride injection 0.5 g,LUGUA POLYPEPTIDE INJECTION 2 mL∶4 mg,compound Amino injection 20 AA,IMIPENEM+Cilastatin for injection,mebo burn cream,medium/long chain fat emulsion and Troxerutin hydrolysate injection.Nine of the top 10 were injectable,with 90 per cent of injections.Conclusion:As a third-level General Hospital,the structure of auxiliary drugs in the third quarter was relatively reasonable,but there were still some phenomena of using drugs without indication and using drugs with ultra-instructions in the clinical department,which suggested that the medical unit should carry out proper supervision,to promote the clinical safety,effectiveness and economic use of auxiliary drugs.
作者
马聪
李莉春
张永生
Ma Cong;Li Lichun;Zhang Yongsheng(Pharmacy Department of Huizhou Sixth People's Hospital,Guangdong Huizhou 516001)
出处
《北方药学》
2020年第7期185-186,共2页
Journal of North Pharmacy
关键词
手足外科
药品金额
用药分析
Hand and foot surgery
Drug money
Drug use analysis
