某肿瘤专科医院2013-2015年注射用辅助治疗药物医嘱点评分析  

Analysis of Medical Orders of Auxiliary Therapeutic Drug for Injection in a Tumor Hospital during 2013-2015

作　　者：孔树佳[1] 李高峰[1] 

机构地区：[1]昆明医科大学第三附属医院/云南省肿瘤医院,昆明650118

出　　处：《中国药房》2016年第32期4498-4500,共3页China Pharmacy

摘　　要：目的:为注射用辅助治疗药物临床合理使用提供参考。方法:随机抽取我院(肿瘤专科医院)2013-2015年每月使用量排名前10位的注射用辅助治疗药物涉及的住院病历共2 221份,对其进行点评,分析不合理医嘱存在的问题。结果:2 221份病历中,使用注射用辅助治疗药物不合理的病历共680份,医嘱合格率为69.38%。不合理用药类型排名前3位的分别为用法用量不适宜(32.94%)、联合用药不适宜(31.62%)、无适应证用药或适应证不适宜(27.50%)。用量排名前10位的注射用辅助治疗药物医嘱合格率最高的是注射用12种复合维生素,为85.00%;医嘱合格率最低的是核黄素磷酸钠注射液,为56.67%。结论:我院需加强注射用辅助治疗药物的规范管理,减少肿瘤治疗中的不合理用药行为。OBJECTIVE： To provide reference for rational use of auxiliary therapeutic drug for injection in the clinic. METHODS： 2 221 inpatient medical records of top 10 auxiliary therapeutic drugs in the list of monthly amount were randomly selected from our hospital （a tumor hospital） during 2013-2015. Those medical records were commented and irrational ones were analyzed. RESULTS： Among 2 221 medical records, there were 680 irrational medical orders of auxiliary therapeutic drugs, with qualified rate of 69.38%. Top 3 types of irrational drug use were unsuitable usage and dosage （32.94%） , unsuitable drug combination （31.62%）, drug use without indication or disagreeing with indication （27.50%）. Among top 10 auxiliary therapeutic drugs for in- jection in the list of amount, the qualified rate of 12 compound vitamin for injection was the highest, being 85.00%; Riboflavin so- dium phosphate injection was the lowest, being 56.67%. CONCLUSIONS： It＇s important to strengthen standardized administration for auxiliary therapeutic drug for injection in our hospital so as to reduce the irrational use of drugs in the treatment of rumor.

关 键 词：注射用辅助治疗药物 医嘱点评 合理用药 用药分析 

分 类 号：R969.3[医药卫生—药理学]