2010-2013年我院新生儿重症监护病房用药分析

发布时间：2018-04-09 01:42

本文选题：新生儿　切入点：重症监护病房　出处：《儿科药学杂志》2016年05期

【摘要】：目的:了解新生儿科重症监护病房(ICU)用药情况,为促进我院新生儿科ICU合理使用药物提供依据。方法:将新生儿科用药按照药理作用机制进行分类统计,根据用药数量进行排序并计算百分比,统计分析2010年至2013年用药频度排名前10位的药品。查阅各药品说明书,核对各药品的实际使用情况,统计新生儿科ICU超说明书使用情况。结果:从2010年到2013年,新生儿科ICU用药数量呈上升趋势,维生素及水电解质平衡营养药物、作用于消化系统药物、作用于血液造血系统药物居前3位,DDDs排名前3位的药物分别为维生素AD滴剂、枯草杆菌二联活菌颗粒和复方碳酸钙泡腾颗粒。2012-2013年,抗感染药物、作用于自主神经系统药物、作用于消化系统药物增幅分别为55.53%、43.62%和28.68%。说明书中未提及新生儿用药的48种,占31.6%,主要包括维生素、水电解质平衡营养类药物、血液造血系统和消化系统药物。结论:我院新生儿科ICU用药特点比较明确,超说明书用药所占比例较大,应加强不合理用药的干预,进一步提高我院新生儿用药的安全性、有效性和经济性。
[Abstract]:Objective: to investigate the drug use of ICU in neonatal intensive care unit (ICU) and to provide evidence for rational use of ICU in our hospital.Methods: according to the mechanism of pharmacological action, the drugs in pediatrics were classified and counted according to the number of drugs used and the percentage was calculated. The top 10 drugs in the frequency of drug use from 2010 to 2013 were statistically analyzed.To check the actual use of each drug and to count the use of ICU in pediatrics.Results: from 2010 to 2013, the number of ICU drugs in pediatrics showed an increasing trend, vitamins and water electrolyte balanced nutrition drugs, acting on digestive system drugs,The top 3 drugs acting on hematopoietic system drugs in DDDs were vitamin A drops, Bacillus subtilis Dysticillium granules and compound calcium carbonate effervescent granules from 2012 to 2013. Antiinfective drugs acting on autonomic nervous system drugs,The increase of drugs acting on digestive system was 43.62% and 28.68% respectively.48 kinds of drugs were not mentioned in the instructions, accounting for 31.6%, including vitamins, water and electrolyte balanced nutrition drugs, blood hematopoietic system and digestive system drugs.Conclusion: the characteristics of ICU drug use in our hospital are clear, the proportion of drug use is large, the intervention of irrational drug use should be strengthened, and the safety, effectiveness and economy of neonatal drug use in our hospital should be further improved.
【作者单位】：首都医科大学附属北京妇产医院;
【分类号】：R969.3

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