珠海市3家医院2013年门诊糖皮质激素类药不合理应用分析  

Analysis on Irrational Application of Outpatient Glucocorticoid Drugs in Three Hospitals of Zhuhai in 2013

作　　者：陈曼 吴文渊 

机构地区：[1]珠海市慢性病防治中心药剂科,广东珠海519000

出　　处：《中国医院用药评价与分析》2016年第1期104-106,共3页Evaluation and Analysis of Drug-use in Hospitals of China

摘　　要：目的:了解门诊糖皮质激素类药的不合理使用情况,为临床合理用药提供参考。方法:从珠海市3家医院2013年的总共193 852张门诊处方中,以等距抽样法每月抽取800张,筛选出使用糖皮质激素类药的处方,对糖皮质激素类药的使用情况进行回顾性分析。结果:在抽取的9 593张处方中,使用糖皮质激素类药的处方有1 213张,占12.64%。其中,超适应证用药686张,占使用糖皮质激素类药处方的56.55%,列前3位的分别为急性支气管炎176张(25.66%)、上呼吸道感染168张(24.49%)、急性扁桃体炎139张(20.26%)。结论:所调查医疗机构门诊糖皮质激素类药在药物选择、给药方式等方面存在不合理现象,需建立科学系统的培训体系,强化临床使用管理监督,提高该类药处方点评的针对性,以提高临床合理用药水平。OBJECTIVE： To investigate the irrational application of outpatient glucocorticoid drugs,and to provide reference for the rational drug use in clinic. METHODS： From 193 852 outpatient prescriptions in three hospital of of Zhuhai in 2013, 800 prescriptions were selected each month according to the equidistant sampling method.Prescriptions with glucocorticoid drugs were screened,retrospective analysis was conducted on the application of outpatient glucocorticoid drugs. RESULTS： Of the 9 593 prescriptions,there were 1 213 cases with glucocorticoid drugs,accounting for 12. 64%; among which,over indications medication were 686 cases,accounting for 56. 55% of prescriptions with glucocorticoid drugs; the top three were 176 cases of acute bronchitis（ 25. 66%）,168 cases of upper respiratory tract infection（ 24. 49%） and 139 cases of acute tonsillitis（ 20. 26 %）. CONCLUSIONS： There are some irrational phenomenon in the surveyed outpatient medical institutions in terms of selection of drug and route of administration. It is necessary to establish scientific training system,strengthen management and supervision in clinical application and improve the pertinence of prescription review in this kind of drugs so as to increase the level of rational drug use in clinic.

关 键 词：糖皮质激素 处方分析 合理用药 临床应用 

分 类 号：R969.3[医药卫生—药理学]