某妇幼保健院门诊口服避孕药的非避孕性应用情况分析

发布时间：2018-08-20 14:32

【摘要】：目的:统计某妇幼保健院门诊口服避孕药的非避孕性应用的临床分布,并评价口服避孕药用药的合理性。方法:采用回顾性调查方式抽取某妇幼保健院门诊2014年7月—12月使用口服避孕药[炔诺酮片、米非司酮片、去氧孕稀炔雌醇片(妈富隆)、炔雌醇环丙孕酮片(达英-35)]的处方,共3 840张,根据国际疾病分类(ICD-10)统计临床诊断,根据《处方管理办法》、《临床用药须知》(2011版)、《妇产科学》(第八版)以及结合药品说明书对处方进行合理性评价。结果:在3 840张处方中,用于避孕的处方有57张,非避孕性应用的处方有3 783张,非避孕性使用率达到98.5%;不合理处方有220张,不合理用药率达到5.7%。结论:非避孕性应用是门诊使用口服避孕药的主要目的,应用情况基本合理,但仍存在不合理用药的现象,应加强口服避孕药非避孕性应用的监管,提高用药合理性。
[Abstract]:Objective: to analyze the clinical distribution of non-contraceptive use of oral contraceptive in a maternal and child health care hospital and to evaluate the rationality of oral contraceptive. Methods: the prescriptions of oral contraceptive (norethisterone tablets, mifepristone tablets, demethylethistyne estradiol tablets, diethylethyl cyproprogesterone tablets (DA-35) were selected by retrospective investigation from July to December 2014 in an outpatient clinic of a maternal and child health care hospital. A total of 3 840 cases were collected. According to the International Classification of Diseases (ICD-10), the clinical diagnosis was statistically analyzed. The rationality of the prescriptions was evaluated according to "prescription Management method", "Clinical medication Information" (2011), "Gynecology" (eighth edition) and combined with the drug instructions. Results: among the 3 840 prescriptions, 57 prescriptions were used for contraception, 3 783 prescriptions for non-contraceptive use, 98.5% for non-contraceptive use rate, and 220 prescriptions for unreasonable prescriptions, with an irrational drug use rate of 5.7%. Conclusion: Non-contraceptive use is the main purpose of oral contraceptive used in outpatient clinic, and the use of contraceptive is basically reasonable, but there is still irrational use of drugs. Therefore, the supervision of oral contraceptive non-contraceptive use should be strengthened to improve the rationality of drug use.
【作者单位】：广东省妇幼保健院;
【分类号】：R979.21

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