摘要
目的探讨门诊2型糖尿病患者处方降糖药物的使用情况。方法选取2019年10月—2020年10月该院门诊2型糖尿病患者186例的4261张处方,分析患者的处方降糖药物的情况,统计患者的一般资料,降糖药物的选择和联用情况,用法用量,给药方式以及合并其他疾病相关用药。结果186例2型糖尿病,男性占比58.60%,女性占比41.40%;2型糖尿病患者降糖药物用药有5种给药方式,双药口服最高(41.94%),单用非胰岛素降糖药物占比16.67%,双联非胰岛素降糖药物占比42.47%;186例患者中有18例选择胰岛素(9.68%),其中选择最多的是门冬胰岛素30注射液,口服胰岛素包括二甲双胍、噻唑烷二酮类以及磺脲类促泌剂等,共12个品种。所有处方中,共22例处方不合理(11.83%),包括2例用药与诊断不符合、4例给药剂量不合理、16例用药频次不合理。结论临床药师应当对降糖药物的种类选择进行监督与管理,强化患者健康教育和用药宣教。
Objective To investigate the use of prescription hypoglycemic drugs in outpatients with type 2 diabetes.Methods From October 2019 to October 2020,4261 outpatient prescriptions of 186 outpatients with type 2 diabetes in the hospital were selected.Analyzed the patient's prescription of hypoglycemic drugs,statistics the general information of the patient,the selection and combination of hypoglycemic drugs,the usage and dosage,the mode of administration,and the medications associated with other diseases.Results In 186 cases of type 2 diabetes,58.60%were males and 41.40%were females.There were 5 modes of administration of hypoglycemic drugs for patients with type 2 diabetes.The dual-drug oral administration the highest(41.94%),the non insulin hypoglycemic drug alone accounted for 16.67%,and the dual non insulin hypoglycemic drug accounted for 42.47%.18 of the 186 patients choose insulin(9.68%).Among them,the most selected was insulin aspart 30 injection.Oral insulin includes metformin,thiazolidinediones and sulfonylureas secretion promoters,and there were 12 varieties in total.Among all prescriptions,22 cases were unreasonable(11.83%),including 2 cases of medication inconsistent with diagnosis,4 cases of irrational dosage,and 16 cases of irrational frequency of medication.Conclusion Clinical pharmacists should supervise and manage the selection of hypoglycemic drugs,and strengthen patient health education and medication education.
作者
陈婷芬
CHEN Tingfen(Department of Pharmacy,the Second Affiliated Hospital of Guangzhou Medical University,Guangzhou,Guangdong Province,510260 China)
出处
《糖尿病新世界》
2022年第3期68-70,96,共4页
Diabetes New World Magazine
关键词
2型糖尿病
门诊
降糖药物
Type 2 diabetes
Outpatient service
Hypoglycemic drugs
