513例剖宫产患者药物利用评价  

Drugs Utilization Review of 513 Patients Undergoing Uterine-incision Delivery

作　　者：欧定宏[1] 黄婉群[1] 龙启才[2] 杨红梅[1] 

机构地区：[1]广州市妇婴医院,广州市510180 [2]中山大学药学院,广州市510080

出　　处：《中国药房》2009年第5期339-341,共3页China Pharmacy

摘　　要：目的：评价剖宫产患者药物利用的合理性。方法：采用回顾性方法，对我院2006年6月～2007年5月513例剖宫产患者的用药情况进行统计、分析。结果：我院剖宫产患者药品销售金额排序列前2位的是抗茵药物和麻醉药（及辅助药），分别占药品总销售金额的52．21％和17．08％。按抗菌药物销售金额排序列前2位的是注射用盐酸头孢替安和注射用头孢呋辛钠，分别占30．85％和24．47％。部分抗菌药物的药物利用指数（DUI）偏大，DUI〈1的有4种，DUI=1的有4种，DUI〉1的有6种，而且DUI〉1的品种DDDs均较大，也就是应用量较多。结论：我院抗菌药物应用在剖宫产患者中所占比例较高，品种选择合理，但部分抗菌药物剂量偏大，应引起重视。OBJECTIVE： To evaluate the rationality of drug use in patients undergoing uterine - incision delivery. METHODS： By a retrospective study, a total of 513 patients who had uterine- incision delivery in our hospital from June 2006 to May 2007 were analyzed statistically. RESULTS： Of the total drugs used, antimicrobial drugs and narcotics （including adjunctive drugs） ranked at the first 2 places in terms of consumption sum, accounting for 52.21% and 17.08%, respectively. Of all the antimicrobial drugs, Cefotiam Hydroehloride Sterilized Powder and Cefuroxime Sodium for Injection Sterilized Powder dominated the first two places, accounting for 30.85% and 24.47%, respectively. Some antimicrobial drugs had a high DUI value; DUI〈1 was found in 4 kinds; DUI= 1 was found in 4 kinds, and DUI〉1 in 6 kinds; moreover, the kinds with DUI〉 1 were also high in DDDs （i.e. high dosage） . CONCLUSION： The patients undergoing uterine-incision delivery had a high proportion in using antimicrobial drugs yet the choice of drug kinds was reasonable. However, great attention should be paid to the high dosage of some of the antimicrobial drugs.

关 键 词：剖宫产 药物利用评价 药物利用指数 

分 类 号：R969.3[医药卫生—药理学] R984[医药卫生—药学]