1200张门急诊非甾体抗炎药处方用药合理性分析  

Analysis on Rationality of Application of Non-steroidal Anti-inflammatory Drugs in 1 200 Prescriptions from Outpatient and Emergency Department

作　　者：王秀云[1] 周秋峰[1] 刘洋[1] 赵志刚[2] WANG Xiuyun1, ZHOU Qiufeng1, LIU Yang1, ZHAO Zhigang2(1. Dept. of Pharmacy, the First Hospital of Fangshan District, Beijing 102400, China; 2. Dept. of Pharmacy, Beijing Tiantan Hospital Affiliated to Capital Medieal University, Beijing 100050, Chin)

机构地区：[1]北京市房山区第一医院药剂科,北京102400 [2]首都医科大学附属北京天坛医院药学部,北京100050

出　　处：《中国医院用药评价与分析》2018年第3期392-395,共4页Evaluation and Analysis of Drug-use in Hospitals of China

基　　金：2015“北京基层医院药物利用与评价研究”(No.首发2014-3-2043)

摘　　要：目的:了解北京市房山区第一医院(以下简称"我院")门急诊非甾体抗炎药的使用情况,探讨不合理用药情况,为临床合理应用非甾体抗炎药提供参考。方法:利用我院医院信息管理系统随机抽取2016年10月—2017年9月门急诊非甾体抗炎药处方1 200张,采用Excel软件对患者信息、用药情况进行统计分析,评价用药合理性。结果:1 200张非甾体抗炎药处方中,男性患者619例,女性患者581例,男女之比为1.07;年龄10个月~91岁;多来自于骨科(312张,占26.00%),其次为口腔科(109张,占9.08%);多用于外科系统疾病(809张,占67.42%)。共涉及16种非甾体抗炎药,以口服制剂为主;处方数排序居前3位的药品依次为洛芬待因片、布洛芬缓释胶囊和洛芬待因缓释片。不合理用药处方97张(占总处方数的8.08%),主要为用药与用量不合理(61张,占总处方数的5.08%)、联合用药不合理(29张,占总处方数的2.42%)。结论:我院非甾体抗炎药的使用基本合理,少数不合理的情况需改进。OBJECTIVE： To investigate the application of non-steroidal anti-inflammatory drugs in outpatient and emergency department in the First Hospital of Fangshan District（ hereinafter referred to as＂our hospital＂）,to discuss the irrational medication,so as to provide references for clinical rational application of non-steroidal anti-inflammatory drugs.METHODS： 1 200 prescription with application of non-steroidal anti-inflammatory drugs in outpatient and emergency department from Oct. 2016 to Sep. 2017 were randomly extracted from hospital information management system,Excel was adopted to collect and analyze patients＇ information and medication,and to evaluate its rationality. RESULTS： Of the 1 200 prescriptions,619 patients were male and 581 patients were female,with the male to female ratio of 1. 07;aged from 10 months to 91 years old; mostly were from department of orthopedics（ 312 prescriptions,26. 00%）,secondly was department of stomatology（ 109 prescriptions,9. 08%）; mostly were used for surgical disease（ 809 prescriptions,67. 42%）. A total of 16 kinds of non-steroidal anti-inflammatory drugs were involved,mainly were oral preparations; the top 3 drugs ranked in the number of prescriptions were respectively Ibuprofen and codeine phosphate tablets,Ibuprofen sustained release capsule and Ibuprofen and codeine phosphate sustained release tablet. There were 97 irrational prescriptions（ 8. 08%）,mainly including improper usage and dosage（ 61 prescriptions,5. 08%） and inappropriate drug combination（ 29 prescriptions,2. 42%）. CONCLUSIONS： The application of non-steroidal antiinflammatory drugs in our hospital is basically rational,while further improvement is still needed.

关 键 词：非甾体抗炎药 处方分析 合理用药 

分 类 号：R971.1[医药卫生—药品]