我院住院患者预防性使用注射用兰索拉唑的合理性分析

发布时间：2018-06-05 05:50

本文选题：注射用兰索拉唑 + 预防性使用　；参考：《中国药房》2015年09期

【摘要】：目的:为提高注射用兰索拉唑预防性使用的合理性提供参考。方法:抽查我院2013年10-12月住院患者的病历,从注射用兰索拉唑的适应证、用法用量、用药途径、合并用药等方面进行调查,并评价其用药合理性。结果:抽查的248份使用注射用兰索拉唑的病历中,预防性使用的有189例,占76.2%,总体不合理使用率为74.2%。其中,预防性使用不合理例数占全部不合理例数的87.5%,主要问题为无指征用药、用药起点偏高、无指征更换药物等。结论:医院相关行政部门应组织临床医师与药师共同制订注射用兰索拉唑的使用标准与规范,特别是针对应激性溃疡的使用指征、剂型选择以及停药指征等,以提高其使用合理性。
[Abstract]:Objective: to improve the rationality of the prophylactic use of lansoprazole for injection. Methods: the medical records of inpatients in our hospital from October to December 2013 were investigated in terms of indications, dosage, route and combined use of lansoprazole for injection, and the rationality of lansoprazole was evaluated. Results: of 248 selected medical records of Lansoprazole for injection, 189 cases were prophylactic use, accounting for 76.22.The overall unreasonable utilization rate was 74.2%. Among them, the number of irrational preventive use accounts for 87.5% of the total unreasonable cases. The main problems are no indication of drug use, high starting point of medication, no indication to replace drugs and so on. Conclusion: the hospital administrative departments should organize clinicians and pharmacists to work out the standards and norms for the use of lansoprazole for injection, especially for the use of stress ulcer, dosage form selection and withdrawal indications. In order to improve the rationality of its use.
【作者单位】：杭州市西溪医院;
【分类号】：R969.3

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