常州地区不同等级医院哮喘住院患者用药状况回顾性调查  

Report on drug application of hospitalized patients with asthma in hospitals of different grade in Changzhou area

作　　者：王明丽[1] 许建平[1] 王晓杰[1] 

机构地区：[1]常州市第一人民医院药剂科,常州213003

出　　处：《上海医药》2005年第11期491-493,共3页Shanghai Medical & Pharmaceutical Journal

基　　金：江苏省卫生厅奥赛康基金项目;编号:P200408

摘　　要：目的了解哮喘患者住院期间的用药及遵循哮喘防治指南的情况。方法回顾性调查常州地区不同等级医院(三级、二级、一级)2004年度120例哮喘患者住院期间的用药情况。结果三级、二级、一级医院住院哮喘患者抗生素使用费用占药品费用的比例较高,分别为54.45%、63.23%和72.67%。在给药途径方面,吸入β2受体激动剂和糖皮质激素一级医院仅分别为38.9%和0(P<0.01),低于三级医院和二级医院。在吸入制剂中,三级、二级医院雾化溶液使用率分别为96.8%和53.3%,一级医院不使用雾化溶液。结论哮喘住院治疗过程中,抗生素的使用量仍较大;吸入疗法还应当普及,尤其是雾化溶液吸入。Aim：To observe drug application of hospitalized patients with asthma and condition of practice on principles of guide for prevention and treatment of asthma. Methods： A retrospective survey on drug appliction of 120 cases of hospitalized patients with asthma in hospitals of different grade （ grade 3, grade 2, grade 1 ） in 2004 was conducted. Results： The cost of antibiotics used by hospitalized patrients with asthma in hospitals of grade 3, grade 2 and grade 1 was high,which respectively accounted for 54.45% ,63.23% and 72.67% of their whole drug cost. In the forms of drug application, inhaled 132 receptor agonists and glucoeorticoids in hospitals of grade 1 respectively accounted for 38.9% and 0 （ P 〈 0.01 ）, which were lower than those in hospilals of grade 3 and grade 2. The proportions of cases with inhalation therapy using nebulisem in hospitals of grade 3 ,grade 2 and grade 1 were 96.8% ,53.3% and 0 respectivly. Conelution： In the treatment of hospitalized patients with asthma,antibiotics are overused ,and the inhaltion therapy especially aerosol with nebulisers needs to be used more widely.

关 键 词：哮喘 用药情况 吸入疗法 

分 类 号：R562.25[医药卫生—呼吸系统]