2013年下半年本院住院患者糖皮质激素类药物使用情况分析  

Glucocorticoid drugs for inpatients in our hospital in the second-half of 2013

作　　者：朱永超[1] 唐迎迎[1] 

机构地区：[1]河南宏力医院药学部,河南新乡453400

出　　处：《中南药学》2014年第10期1047-1049,共3页Central South Pharmacy

摘　　要：目的了解2013年下半年本院糖皮质激素(GCS)类药物使用情况,旨在促进本院糖皮质激素类药物的合理使用。方法随机抽查2013年下半年6 000份住院病历,对GCS类药物使用情况进行统计、分析。结果 6 000份住院病历中,使用糖皮质激素类药物的病历共972份,占总病历数的16.20%。在972份病历中,男性患者447例,女性患者525例;患者年龄10 d^95岁,平均年龄为(41.4±23.07)岁;糖皮质激素类用药疗程为1~27 d,平均为(4.65±1.64)d。糖皮质激素类药物在内科、儿科及ICU使用率较高。使用糖皮质激素类药物不合理病历数为244份,不合理使用率为25.10%,其中不合理使用较多的品种是地塞米松磷酸钠注射液,其次是曲安奈德注射液、注射用甲泼尼龙琥珀酸钠。结论本院糖皮质激素类药物使用存在不合理现象,应加强监督管理。Objective To evaluate the use of glucocorticoid drugs in our hospital in the second-half of 2013 to promote rational use of glucocorticoids drugs. Methods A total of 6 000 inpatient medical records in the second-half of 2013 were randomly drawn out and the usage of glucocorticoid dru gs were statist ically and analyzed. Results Among the 6 000 medical records, glucocorticoid drugs were used in 972（16.20%）. Among the 972 inpatient medical records, 447 cases were male patients and 525 female patients, whose age ranged from 10 days to 95（41.4±23.07） years old. The course of using glucocorticoid drugs ranged from 1 to 27（4.65±1.64） days. Data showed that glucocorticoid drugs had higher usage rate in the internal medicine and paediatrics department and in the ICU. Totally 244（25.10%） used glucocorticoid drugs unreasonably. Dexamethasone sodium phosphate injection was abused most, followed by triamcinolone acetonide injection and methylprednisolone sodium succinate for injection. Conclusion We should strength the supervision and administration of unreasonable use of drugs in our hospital.

关 键 词：糖皮质激素类药物 使用情况 住院患者 

分 类 号：R969.3[医药卫生—药理学]