某三级甲等医院2011年8月至2012年8月门诊老年患者维生素应用分析  

Analysis of the Utilization of Vitamins in Elderly Patients in Outpatient Department of a Third-grade Class-A Hospital during Aug.2011-Aug.2012

作　　者：罗玉鸿[1] 袁晓斌[1] 王嘉琳[1] 黄好武 

机构地区：[1]珠海市人民医院药学部,广东珠海519000

出　　处：《中国药房》2013年第30期2800-2803,共4页China Pharmacy

摘　　要：目的:评价某三级甲等医院老年患者使用维生素的合理性。方法:收集某三级甲等医院2011年8月至2012年8月门诊使用维生素的老年患者处方11690张,参照合理用药国际指标的核心指标对处方内容进行统计、分析。结果:≥60岁的老年患者中,男性占47.10%,女性占52.90%;其中60～69岁者占43.20%,70～79岁者占41.90%;以过敏性疾病(14.88%)、心血管疾病(18.30%)、糖尿病(9.37%)等为主;维生素单张处方平均金额为154.82元;使用1种维生素的处方占84.28%;使用维生素类注射剂的处方占17.46%;不合理用药处方有26张(0.22%)。结论:该院老年患者门诊使用维生素存在不合理情况。临床医师应按需控制维生素类药的用量;药学人员应加强对老年患者使用维生素类药不良反应的监测,为患者提供安全、有效的治疗。OBJECTIVE：To evaluate the rationality of vitamins use in elderly patients from a third-grade class-A hospital.METHODS：Totally 11 690 prescriptions with vitamins of elderly patients were collected from outpatient department of the third-grade class-A hospital during Aug.2011-Aug.2012.The contents of those prescriptions were analyzed statistically according to key index among national index of rational drug use.RESULTS：Among elderly patients over the age of 60,males accounted for 47.10% and female accounted for 52.90%;43.20% were 60 to 69 years old and 41.90% were 70 to 79 years old.Allergic diseases （14.88%）,cardiovascular diseases （18.30%） and diabetes （9.37%） took up the largest proportion;the average vitamin amount of each prescription was 154.82 yuan;the prescriptions which only adopted a kind of vitamin accounted for 84.28%;the prescriptions which adopted vitamin injection accounted for 17.46%;irrational drug use was found in 26 prescriptions （0.22%）.CONCLUSIONS：The utilization of vitamins in elderly patients is unreasonable in outpatient department.Clinicians should control the amount of vitamin;pharmaceutical staff should strengthen ADR monitoring of vitamin in elderly patients and to provide a safe and effective treatment.

关 键 词：维生素 老年患者 处方分析 

分 类 号：R969.3[医药卫生—药理学] R287[医药卫生—药学]