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目的了解某院住院患者抗凝血药临床合理应用情况。方法用横断面调查的方法,调查2016年6月16日住院患者抗凝血药使用是否合理的情况。结果 1 313例患者中使用抗凝血药58例(4.42%),品种涉及3大类,2个剂型,4个规格。抗凝血药使用率前3位的科室分别是骨科、ICU和心内科;不合理使用抗凝血药3例(5.17%),其中无指征使用1例,另2例为序贯用药时间不合理和国际标准化比值超标未减量或停药。结论该院抗凝血药的使用存在不合理之处,应制定相应的制度和措施,使临床用药趋向规范和合理。
Objective To understand the clinical application of anticoagulant inpatients in a hospital. Methods The method of cross-sectional survey was used to investigate whether the use of anticoagulants in hospitalized patients on June 16, 2016 was reasonable. Results A total of 583 (4.42%) anticoagulants were used in 1 313 patients. There were 3 categories, 2 dosage forms and 4 specifications. The anticoagulant use rate of the top three departments were orthopedics, ICU and cardiology; irrational use of anticoagulants in 3 cases (5.17%), of which 1 case without indications, the other 2 cases of sequential medication Unreasonable and international standardization ratio is not excessive or withdrawal. Conclusion There is unreasonable use of anticoagulants in this hospital. Corresponding systems and measures should be formulated so that clinical medication tends to be standardized and reasonable.