我院儿科急诊呼吸系统疾病用药构成情况与合理性评价  

Drug Composition and Rationality Evaluation of Respiratory Diseases in Pediatric Emergency Department of Our Hospital

作　　者：胡雪 刘鑫[1] 郎路集 张永凯[1] HU Xue;LIU Xin;LANG Luji;ZHANG Yongkai(Department of Pharmacy,First Hospital of Jilin University,Jilin Changchun 130021,China)

机构地区：[1]吉林大学第一医院药学部,吉林长春130021

出　　处：《中国药物警戒》2018年第12期741-745,共5页Chinese Journal of Pharmacovigilance

摘　　要：目的了解我院儿科急诊呼吸系统疾病用药构成情况,为临床合理用药提供参考。方法收集我院2017年8～10月每月前6天儿科急诊处方17 210张,用药医嘱50 613条,其中呼吸系统疾病处方14 424张,用药医嘱41 927条,对呼吸系统疾病处方药品药理类别、药品剂型、不同药理类别药品构成情况进行统计分析。结果呼吸系统疾病41 927条用药医嘱中,使用抗菌药10 049条(23.97%)、中成药9 347条(22.29%)、抗病毒药8 873条(21.16%);注射剂31 508条(75.15%),其他剂型仅10 419条(24.85%)。结论我院儿科急诊呼吸系统疾病用药构成以抗菌药、中成药、抗病毒药为主,但在药物剂型选择上存在比例失调的问题,特别是抗菌药、抗病毒药、祛痰镇咳平喘药、解热镇痛药,注射剂使用比例过大。Objective To understand the drug composition of respiratory diseases in pediatric emergency department in our hospital and provide reference for clinical rational use of drugs.Methods We collected 17 210 pediatric emergency prescriptions and 50 613 medical orders of our hospital in the first 6 days of each month from August to October in 2017,including 14 424 prescriptions for respiratory diseases and 41 927 medical orders,to analyze the pharmacologic categories,drug dosage forms and different pharmacologic categories of respiratory diseases.Results Among the 41 927 medical orders of the respiratory system,10 049(23.97%) were antibacterial agents,9 347(22.29%) were Chinese patent medicine,8 873(21.16%) were antiviral agents,31 508(75.15%) were injections and 10419(24.85%)were other types of drugs.Conclusion Antibiotics,Chinese patent medicines and antiviral drugs were the main drugs used in the pediatric emergency respiratory system diseases in our hospital,but there was an imbalance in the selection of drug dosage forms,especially antibiotics,antiphlegm,antitussive,antiasthmatic drugs and antipyretic analgesics,in which injections were overused.

关 键 词：儿科 呼吸系统用药 用药构成 用药评价 

分 类 号：R994.11[医药卫生—毒理学]