2318例住院患者退药调查及分析  

Analysis on drug repercussion of 2318 inpatients

作　　者：李霞[1] 刘晓军[1] 程志英[1] 树俊莲[2] 卫平[3] 

机构地区：[1]武警总医院药剂科,北京100039 [2]武警总医院B超室,北京100039 [3]武警总医院心电图室,北京100039

出　　处：《中华医院感染学杂志》2011年第23期5046-5048,共3页Chinese Journal of Nosocomiology

摘　　要：目的调查医院住院患者退药情况。方法收集医院各病区2010年1-3月退药申请单及电脑数据库退药金额数据,采用U检验,分析医院住院患者退药特点。结果退药原因多见于调整医嘱、患者出院、患者转科、药物不良反应、患者死亡、患者拒用、电脑录入错误,分别占53.97%、21.57%、8.72%、5.13%、4.96%、3.71%、1.94%;退药品种和例数排名前3位是抗菌药物及调节水、电解质、酸碱平衡类药与心血管系统药;科室退药和金额统计中内科退药处方共806张,退药金额占总退药金额的25.50%,外科退药处方共855张,退药金额占总退药金额的25.61%,其他科室退药处方共657张,退药金额占总退药金额的48.89%。结论医院各病区均有退药现象,且退药品种和数量均比较多,需加强医院药品规范管理和临床的合理用药。OBJECTIVE To investigate the drug repercussion of inpatients in our hospital. METHODS The application from and amount of money about drug repercussion in data base form Jan to Mar in 2010 were collected.The characteristics and causes of drug repercussion were analyzed by U test. RESULTS Adjustment about medication（54.00%）,discharge from hospital（21.50%）,transferring to another department（8.70%）,adverse drug reactions（5.13%）,patients died（5.00%）patients with rejection（3.71%）,and computer entry error（1.90%） were the most reasons for drug repercussion.Antibiotics（81 kinds,1,239 cases） and moderators of water and electrolyte（45 kinds,668 cases） were the top two sorts of retraced drugs.There were altogether 806 cases of drug repercussion in internal ward,which occupied 25.50% of total amount of money about drug repercussion.There were altogether 855 cases of drug repercussion in surgery ward,which occupied 25.61% of total amount of money about drug repercussion.Other departments had a total of 657 cases drug repercussion and occupied 48.89%. CONCLUSION Drug repercussion occurs in every ward of our hospital.It is imperative to enhance the standard management of drugs.

关 键 词：住院患者 退药原因 合理用药 

分 类 号：R978.1[医药卫生—药品]