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目的:了解消化内科不合理用药情况,为临床合理用药、提高用药安全性提供参考依据。方法:利用医院药品管理信息系统,采取回顾性分析方法,对永康医院消化内科2012年1月-2016年12月诊治的2 268例患者治疗资料进行整理分析,研究分析是否存在以及存在何种用药不合理的情况。结果:2 268例患者治疗方案中,共有87例患者存在不合理用药情况,药品种类以抗生素最多,占41.38%;其次为抑酸药物,占22.99%;促胃肠动力药物占14.94%;促消化药物占13.79%;胃粘膜保护药占6.90%。不合理用药原因中,以药物用量大最高,为40.23%;其次为重复用药,占35.63%;联合用药不合理,占18.39%;药物联用致毒副作用占5.75%。结论:要通过对医师的不断培训,使消化内科医护人员能知晓各种药物的成分、特征及作用,避免不合理用药情况发生。从而降低或消除药物不合理使用对患者的身心危害,保障患者临床用药安全,促进患者康复。
OBJECTIVE: To understand the irrational use of drugs in gastroenterology and to provide a reference for clinical rational use of drugs and improvement of drug safety. Methods: A retrospective analysis method was used to analyze the treatment data of 2 268 patients treated in Department of Gastroenterology, Yongkang Hospital from January 2012 to December 2016. The data were analyzed for the existence and the existence of any medication Irrational situation. Results: Among 2 268 cases, there were 87 patients with irrational drug use. The antibiotics were the most widely used drugs, accounting for 41.38%; followed by acid-suppressing drugs, accounting for 22.99%; gastrointestinal motility drugs accounting for 14.94%; Digestive drugs accounted for 13.79%; gastric mucosal protective drugs accounted for 6.90%. Unreasonable drug use, the largest amount of drug use was 40.23%; followed by repeated medication, accounting for 35.63%; combination of unreasonable, accounting for 18.39%; drug side effects accounted for 5.75%. Conclusion: Through continuous training of physicians, medical personnel should be able to know the ingredients, characteristics and effects of various drugs so as to avoid the irrational use of drugs. Thereby reducing or eliminating the unhealthy use of drugs on patients physical and psychological hazards, to ensure the safety of patients with clinical medication and promote patient rehabilitation.