新疆某三甲医院儿科门诊及住院超药品说明书用药情况对比分析

发布时间：2018-03-31 13:20

本文选题：超说明书用药　切入点：儿科　出处：《中国医院药学杂志》2017年02期

【摘要】：目的:调查某三甲医院儿科门诊及住院超说明书用药情况,为促进我国儿科安全合理用药提供有效数据。方法:通过随机抽取儿科门诊及住院一年内的用药医嘱,依据药品说明书内容,对比判断存在的超说明书用药行为,对具体超说明书用药类型、患儿不同年龄段及各类药品之间的关系进行综合分析。结果:随机抽取儿科门诊处方2 400张、住院病历864份,按用药医嘱条数计,超说明书用药发生率分别为40.84%、46.94%;按超说明书用药类型不同,主要集中在超给药频次、超给药剂量及超适应证方面,发生率合计高达90%以上,该院超说明书用药主要发生在婴儿、幼儿及儿童年龄段;医师职称越高,超说明书用药发生率可能越高;儿科使用中成药比率最高,超说明书用药情况在各类药品中都普遍存在。结论:该院儿科门诊及住院患儿中超说明书用药现象较为普遍。临床医师应当慎重考虑"超说明书用药",加强自身素养,做好患儿知情同意,与临床药师及相关行政管理部门全力配合,一方面保障患儿用药安全,另一方面避免医疗风险。
[Abstract]:Objective: to investigate the use of drugs in pediatrics outpatient department and in hospital in a third class hospital, and to provide effective data for promoting the safe and rational use of pediatrics in China.Methods: according to the contents of drug instruction, the behavior of drug use was compared and judged according to the prescriptions of pediatric outpatients and in-patients within one year, and the specific types of drug use were analyzed.The relationship between different age groups and different kinds of drugs was analyzed.Results: 2 400 prescriptions and 864 medical records of pediatric outpatient department were randomly selected. According to the number of prescriptions, the incidence of drug overloading was 40.84or 46.94, which was mainly focused on the frequency of overdosing according to the type of drug use.The incidence of overdose and indications was over 90%, and the incidence of overdose was more than 90%. The higher the professional title of physician, the higher the incidence rate of over-instruction medication in the hospital was mainly in infants, infants and children.The rate of pediatric use of proprietary Chinese medicine is the highest, and the use of superprescriptions is widespread in all kinds of drugs.Conclusion: in pediatric outpatient and hospitalized children, the phenomenon of supermanual drug use is more common.Clinicians should carefully consider "over-instruction medication", strengthen their own accomplishment, do a good job of informed consent, cooperate fully with clinical pharmacists and relevant administrative departments, on the one hand, ensure the safety of drug use for children, on the other hand, avoid medical risks.
【作者单位】：新疆医科大学第二附属医院药学部;新疆医科大学第一附属医院药学部;
【基金】：新疆医科大学科研创新基金项目(编号:XYDCX201447)
【分类号】：R95

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