住院患者疏血通临床应用调查分析  

Investigation and analysis of Shuxuetong clinical application in the hospitalized patients

作　　者：马玉蓉[1] 李峥[1] 胥陶 许激杨[2] 

机构地区：[1]重庆市第五人民医院药剂科,重庆400062 [2]中国药科大学生化教研室,江苏南京211169

出　　处：《中国医药导报》2013年第13期103-104,107,共3页China Medical Herald

基　　金：国家自然科学基金资助项目(编号81073010)

摘　　要：目的调查疏血通在重庆市第五人民医院(以下简称"我院")住院患者中的临床应用状况,为减少其临床滥用提供参考。方法随机抽取我院30例应用疏血通的住院患者病历,根据病历分析每例患者疏血通用法、用量、禁忌证、药物配伍及溶媒使用情况,采用《医疗机构合理用药指标》进行评价分析。结果患者疏血通每天平均用量为(6.9±1.1)mL,平均用药天数(13.5±2.6)d;剂量使用正确患者8例,占总例数的26.7%,药物配伍正确患者26例,占总例数的86.7%,溶媒使用正确患者30例,使用正确率达100.0%;临床疏血通使用合理患者占26.7%(8/30),基本合理占63.3%(19/30),不合理占10.0%(3/30)。结论我院疏血通临床应用存在一定问题,药物用量和频次较大,应当加以控制。Objective To investigate the clinical use status of Shuxuetong in hospitalized patients in the Fifth People＇s Hospital of Chongqing City, in order to reduce its clinical abuse. Methods The medical records of 30 hospitalized patients were randomly selected in our hospital, according to the medical records, the Shuxuetong usage, dosage, contraindication, drug incompatibility and menstruum use were analyzed, then Rational drug use indicators in medical in- stitutions was used to evaluate the rational drug use. Results The average usages of Shuxuetong in the patients was （6.9±1.1） mL per day, the average use days was （13.5±2.6） d. 8 patients had used the correct dose, accounted for 26.7%; drugs compatibility in 26 patients were right, accounted for 86.7%; 30 patients of menstruum had properly used, accounted for 100.0%. Patients with clinical reasonable use of Shuxuetong accounted for 26.7% （8/30）, the almost reasonably use accounted for 63.3% （19/30）, the unreasonable use accounted for 10.0% （3/30）. Conclusion There are some problems of Shuxuetong application in our hospital, the dose and frequency of Shuxuetong use are relatively high, which should be controlled.

关 键 词：疏血通 临床应用 调查分析 

分 类 号：R969.3[医药卫生—药理学]