我院2012年3月-2013年3月辅助治疗药应用分析  

Analysis of the Utilization of Adjunctive Treatment Drugs in Our Hospital from Mar. 2012 to Mar. 2013

作　　者：张红菊[1] 陈芳[2] 邓琴[2] 曾剑强[2] 龚媛媛[2] 陈炅[2] 张帆[2] 何洪静[2] 

机构地区：[1]昆明市第一人民医院药剂科,昆明650011 [2]成都军区昆明总医院药剂科,昆明650032

出　　处：《中国药房》2013年第26期2415-2417,共3页China Pharmacy

摘　　要：目的:了解我院销售金额排序列前10位的辅助治疗药的应用情况,为加强辅助治疗药监管和促进临床合理用药提供参考。方法:采用金额排序和病例抽查方法,对我院2012年3月-2013年3月辅助治疗药的应用情况进行调查。结果:销售金额排序列前10位的辅助治疗药主要包括单唾液酸四己糖神经节苷脂钠注射剂、血栓通注射剂、鹿瓜多肽注射剂、薄芝糖肽注射剂、纳美芬注射剂、脂溶性维生素、骨瓜提取物注射剂、参芎葡萄糖注射剂、百令胶囊、参麦注射剂等;其销售金额占药品总销售金额的12.19%,占前40位药品销售金额的35.87%。不合理用药主要发生在外科系统,不合理用药例数占所抽查患者总例数的22%,体现在无适应证用药、超疗程用药、超剂量用药、溶媒不当、给药频次不当及联合用药不当等方面。结论:我院辅助治疗药不合理应用情况较明显;应当进行适当的监管,以促进临床安全、有效、经济用药。OBJECTIVE： To investigate the utilization of top 10 adjunctive treatment drugs in the list of consumption sum in our hospital, and to provide reference for reinforcing the supervision and management for adjunctive treatment drugs and promoting clinical use of drugs. METHODS： The utilization of adjunctive treatment drugs in our hospital during Mar. 2012-Mar. 2013 were investigated by consumption sum sorting and medical case sampling. RESULTS： Top 10 adjunctive treatment drugs in the list of consumption sum mainly included Monosialotetrahexosylganglioside sodium injection, Xueshuantong injection, Cervus and Cucu- mis polypeptide injection, Bozhi glycopeptide injection, Nalmefene injection, lipsoluble vitamin, Gugua extract injection, Shenx- iong dextrose injection, Bailing capsule and Shenmai injection. The consumption amount of them accounted for 12.19% of total and for 35.87% among top 40 drugs. The irrational drug use were mainly found in general surgery department. The cases of irratio- nal drug use accounted for 22% among the cases checked, mainly manifesting as no-indication medication, medication beyond treatment course, excessive dose of drug, improper solvent, improper frequency of medication and improper drug combination and so on. CONCLUSIONS： The irrational use of adjuvant treatment drug is serious in our hospital. In order to promote the doctors to use adjuvant treatment drugs more safely, effectively and economically, the hospital should supervise and manage the utilization of adjuvant treatment drugs.

关 键 词：辅助治疗药 临床药师 合理用药 

分 类 号：R969.3[医药卫生—药理学] R287[医药卫生—药学]