某院2012年儿科门诊糖皮质激素类药应用分析  

Analysis of the Application of Glucocorticoids in Pediatric Outpatient Department of a Hospital in 2012

作　　者：罗玉鸿[1] 袁晓斌[1] 黄好武 曾春梅[1] 

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》2014年第18期1656-1658,共3页China Pharmacy

摘　　要：目的：了解儿科门诊患儿糖皮质激素类药的使用情况及存在问题。方法：从某院2012年儿科门诊193852张处方中，以随机抽样法抽取7198例，对处方进行回顾性分析。结果：7198例中，男童占59．59％，女童占40．41％；1～3岁者占48．35％；主要疾病为上呼吸道感染；糖皮质激素的使用率为11．14％；使用例次居前3位的分别为地塞米松磷酸钠注射液（88．53％）、注射用甲泼尼龙琥珀酸钠（3．49％）、吸入用布地奈德混悬液（2．99％）；给药途径以静脉滴注为主（89．15％）；糖皮质激素类药超适应证用药者占64．59％。结论：该院儿科门诊糖皮质激素类药的总使用率不高，但在适用范围、药物品种选择等方面存在不合理现象，医院需加强对其的监控与管理。OBJECTIVE- To probe into the application of glucocorticoids and problems in outpatient prescriptions of pediatric de- partment. METHODS： 7 198 medical records of pediatric outpatients in a hospital were randomly sampled from a total of 193 852 in 2012, and then analyzed statistically. RESULTS： Among 7 198 prescriptions, boys accounted for 59.59% and girls accounted for 40.41%; the patients aged 1-3 years old accounted for 48.35%; upper respiratory tract infection was main disease; utilization ratio of glucocorticoids was 11.14%. Top 3 drugs in the list of frequency were Dexamethasone sodium phosphate injection （88.53%）, Methylprednisolone sodium succinate for injection （3.49%）, Budesonide suspension （2.99%）. Intravenous dripping was main route of administration （89.15 % ）. 64.59 % were out of glucocorticoids indication. CONCLUSIONS： The utilization rate of the glu- cocorticoids in pediatric outpatient department of the hospital was not high. However, there is irrational use in the indications, vari- ety of drugs, etc. thus monitoring of their clinical use should be intensified.

关 键 词：糖皮质激素 儿科 处方分析 

分 类 号：R977.11[医药卫生—药品] R969.3[医药卫生—药学]