2014年某院儿科门诊处方超说明书用药情况调查

发布时间：2018-06-23 01:54

本文选题：超说明书用药 + 儿科门诊　；参考：《中国医院用药评价与分析》2016年01期

【摘要】：目的:了解荆州市妇幼保健院(以下简称"我院")儿科门诊超说明书用药现状,为促进儿童安全合理用药提供参考。方法:随机抽取我院2014年门诊儿科处方,根据药品说明书判断医嘱是否超说明书用药,对超说明书用药发生率、超说明书用药类型、各年龄段儿童超说明书用药发生率及药品种类等进行统计分析。结果:在抽取的1 200张门诊儿科处方中,涉及用药医嘱3 258条,超说明书用药发生率达43.83%。超说明书用药类型列前3位的分别是超适用人群(53.81%)、超给药次数(20.30%)、超给药剂量(13.20%);超说明书用药发生率列前3位的分别是婴儿期(45.26%)、幼儿期(45.15%)、学龄前期(44.03%);超说明书用药列前3位的药品分别是微生物与矿物质药(55.87%)、中成药(50.29%)、抗感染药(46.40%)。结论:超说明书用药现象普遍存在,临床医师应严格掌握药品的说明书,在权衡利弊并取得患儿家长同意后方可超说明使用药品;同时,卫生行政部门应制订超说明书用药相关管理制度,以保障儿童安全、用药有效。
[Abstract]:Objective: to understand the status of drug use in pediatric outpatient department of Jingzhou Maternal and Child Health Hospital (hereinafter referred to as "our hospital"), and to provide a reference for children to use drugs safely and reasonably. Methods: the pediatric prescriptions of outpatient department of our hospital in 2014 were randomly selected to judge whether the prescriptions were overprescribed according to the drug instructions, the incidence rate and the types of drugs used over the instructions. The incidence of drug use and drug types in children of different age groups were analyzed statistically. Results: of the 1 200 pediatric prescriptions in outpatient department, 3 258 prescriptions were involved, and the incidence of drug overloading was 43.83%. The top three types of superprescriptions were superapplicable population (53.81%), overdose (20.30%), overdose (13.20%), infancy (45.26%), infancy (45.15%), pre-school age (44.03%), superinstruction (45.26%), pre-school age (44.03%), superinstruction (20.30%), overdose (13.20%), infancy (45.26%), infancy (45.15%), pre-school (44.03%). The top three drugs were microorganism and mineral medicine (55.87%), Chinese patent medicine (50.29%) and anti-infective drug (46.40%). Conclusion: the phenomenon of over-prescribing drugs is common. Clinicians should strictly grasp the instructions of drugs, weigh the advantages and disadvantages and obtain the consent of the parents of the children before they can explain the use of the drugs, and at the same time, The administrative department of public health should establish the management system of drug-surpassing instructions to ensure the safety of children and the effectiveness of drug use.
【作者单位】：荆州市妇幼保健院药剂科;
【分类号】：R95

【共引文献】