我院2014年围术期血凝酶类药物使用分析

发布时间：2018-05-06 19:33

本文选题：血凝酶类药物 + 围术期　；参考：《中国药房》2015年23期

【摘要】：目的:为围术期合理使用血凝酶类药物提供参考。方法:采用回顾性方法,随机抽取我院2014年1-12月围术期预防使用血凝酶类止血药患者的出院病历1 200份,对血凝酶类药物的消耗量、消耗金额、各科室使用情况、不合理用药情况等进行统计分析。结果:血凝酶类药物金额占住院用药总金额的7.39%,其中注射用尖吻蝮蛇血凝酶的消耗量和消耗金额最高,使用率为51.44%。各科室围术期血凝酶类药物平均用药天数为2.36d,耳鼻咽喉-头颈外科/口腔科的平均血凝酶类药物费用最高为684.52元;耳鼻咽喉-头颈外科/口腔科、泌尿外科平均用药时间较长,分别为3.85、3.50d。围术期预防用血凝酶类药物的合理使用率仅为39.42%,其不合理情况主要表现为用药时机不当(52.15%)、术后用药时间过长(35.75%)、用法错误(5.61%)、无理由更换多种血凝酶类药物(5.06%)。结论:围术期血凝酶类药物不合理的使用现状令人堪忧,需要加强规范化的管理,同时加大临床药师的药学监督及干预措施。
[Abstract]:Objective: to provide reference for the rational use of hemagglutinin in perioperative period. Methods: 1 200 medical records of patients with hemagglutinase hemostatic drugs during the perioperative period from January to December 2014 were selected randomly by retrospective method. Unreasonable use of drugs and other statistical analysis. Results: the sum of money of hemagglutinin accounted for 7.39% of the total amount of drugs used in hospital. The consumption and consumption of hemagglutinin of Agkistrodon acutus for injection was the highest, and the utilization rate was 51.44%. The average days of hemagglutinin drugs used in perioperative period were 2.36 days, the average cost of hemagglutinin drugs in the department of otolaryngal-head and neck surgery / stomatology was 684.52 yuan, and the average time in urology was longer in the department of otolaryngal-head and neck surgery / stomatology. 3.85 and 3.50 days, respectively. The rational utilization rate of hemagglutinase drugs in perioperative period was only 39.42, and the unreasonable situation was mainly as follows: improper timing of drug use was 52.15%, the time after operation was too long and 35.75%, and the usage error was 5.61%. There was no reason to replace many kinds of hemagglutinase drugs with 5.06g. Conclusion: the irrational use of blood coagulase drugs in perioperative period is worrying. It is necessary to strengthen the standardized management and strengthen the pharmacological supervision and intervention measures of clinical pharmacists.
【作者单位】：惠州市中心人民医院;
【分类号】：R969.3

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