门诊儿童用药调查分析  

Analysis of drug utilization in pediatric outpatients

作　　者：刘冬[1] 张丽娜[1] 冯端浩[1] 

机构地区：[1]解放军第三0九医院药剂科,北京100091

出　　处：《中国医药》2012年第3期326-328,共3页China Medicine

摘　　要：目的调查我院门诊患儿的用药情况及药品说明书中有关儿童用药的标注情况，分析儿童用药风险，促进临床合理用药。方法利用我院自主研发的处方评价系统，提取2010年1月1日至2010年12月31日儿科门诊处方共65624张，对其用药情况进行统计。利用我院自主研发的信息化智能提示系统，提取并核实儿童用药情况，调查说明书中有关儿童用法用量、注意事项等标注情况。结果儿科门诊儿童处方为46339人次，占我院门诊处方的11．3％，平均每张处方用药品种数为2．4种，OTC使用率为45．5％，用药品种共663种。用药较多的药品类别分别为中成药、抗微生物药和呼吸系统药物说明书中儿童用药标注率占27．1％（180种），对儿童使用表达不明确占22．8％（151个），无儿童用药项内容的占50．1％（332个）。结论儿童用药涉及的品种较多，儿童药物缺少安全性资料和用药量参考。Objective To investigate the drug utilization in pediatric outpatient; to analyze the drug risk and promote the rational use of drugs. Methods According to the regulation of the management of prescription, a total of 65 624 outpatient prescriptions from January 2010 to December 2010 were randomly sampled from our hospital for analysis. The utilization of information intelligent prompt system, extraction and verification of medicines in children and efficient investigation of children in dosage instructions in the package offered important background help. Results The prescription for children in outpatient building accounted for ll. 3%. The average number of drugs prescribed was 2. 36; the percentage of outpatients receiving over-the-counter drugs （OTC）were 45.5%. There were a total of 663 varieties of children＇s medicine. Among them, the proportion of injections was 4. 8% and antimicrobial drugs was 37.1%. Traditional Chinese patent medicine was 33.5% and Traditional Chinese medicine （TCM） injection was 0. 1%. The tagging rate of package inserts of children reached to 27. 1%. Conclusion Drug utilization in pediatric outpatients is various and lack of security of information and reference dosage.

关 键 词：儿童 用药分析 处方 风险 

分 类 号：R96[医药卫生—药理学]