我院2013年9-12月心血管外科手术患者预防使用质子泵抑制剂点评

发布时间：2019-06-18 20:59

【摘要】：目的:为干预措施制订提供数据支持,促进临床合理用药。方法:选择2013年9-12月福建省立医院心血管外科出院的手术患者,设计心血管外科手术患者预防使用质子泵抑制剂(PPIs)点评表,收集患者基本信息、住院天数、临床诊断、手术信息及PPIs使用情况,参照《应激性溃疡防治建议》及药品说明书对PPIs使用情况进行专项点评。结果:总共点评229份病历,其中187份使用了PPIs,使用率为81.7%,泮托拉唑的使用频次最高;专项点评结果显示,疗程过长是最常见的不合理用药表现,另外还存在用药频次错误、无指征更换药物、明显药物相互作用、重复用药、无适应证用药及溶剂选择错误等不合理现象。结论:此次专项点评发现PPIs在临床使用过程中存在诸多不足,将根据点评结果制订行政及技术干预措施,并持续改进,促进PPIs的合理使用。
[Abstract]:Objective: To provide data support for intervention measures and to promote the rational use of drugs. Methods: From September to December,2013, the patients who were discharged from the cardiovascular surgery in Fujian province were selected, and the patients with cardiovascular surgery were designed to prevent the use of the proton pump inhibitor (PPIs). The basic information of the patients, the number of days of hospitalization, the clinical diagnosis, the operation information and the application of PPIs were collected. Please review the application of PPIs with reference to the recommendations for prevention and control of stress and the use of PPIs. Results: A total of 229 medical records were reviewed,187 of which used PPIs, the rate of utilization was 81.7%, and the frequency of the use of torasola was the highest; the results of the special review indicated that the course of treatment was the most common irrational drug performance, and there was also an error in the frequency of the medication and no indication of the replacement of the drug. Obvious drug interaction, repeated use, non-adaptive drug and solvent selection error and other unreasonable phenomena. Conclusion: The special review found that PPIs have a lot of defects in clinical use, and will develop administrative and technical intervention measures according to the results of the review, and continuously improve and promote the rational use of PPIs.
【作者单位】：福建卫生职业技术学院;福建省立医院;福建省立医院北院;福建省老年医院;
【分类号】：R95

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