356例住院患者小牛脾提取物注射液应用分析  

Analysis of Application of Calf Spleen Extractive Injection in 356 Inpatients

作　　者：吴晓镒 张桂芬 邹音 WU Xaoyi;ZHANG Guifen;ZOU Yin(Dept.of Pharmacy, Changshu No.1 People s Hospital/Changshu Hospital Affiliated to Soochow University, Jiangsu Changshu 215500, China)

机构地区：[1]常熟市第一人民医院/苏州大学附属常熟医院药剂科,江苏常熟215500

出　　处：《中国医院用药评价与分析》2019年第4期478-480,483,共4页Evaluation and Analysis of Drug-use in Hospitals of China

摘　　要：目的:了解常熟市第一人民医院(以下简称"我院")住院患者应用小牛脾提取物注射液的使用情况,评价用药合理性,为临床合理用药提供参考。方法:采用病例回顾性研究方法,调查2017年1—8月我院356例使用小牛脾提取物注射液的住院患者病历资料,对患者的科室分布、年龄及临床诊断,小牛脾提取物注射液的用法与用量、用药疗程及联合用药等情况进行统计分析。结果:356例患者中,肿瘤科患者最多(188例,占52.81%);>50岁患者328例(占92.13%);临床诊断为肿瘤的患者共312例(占87.64%)。小牛脾提取物注射液的平均使用疗程为4.80 d;均采用"静脉滴注,1日1次"的给药方式;溶剂选择与药品说明书基本相符。但还存不合理用药情况,如给药浓度过高等。结论:我院小牛脾提取物注射液的使用还存在一些不合理现象,今后应严格按照药品说明书规范用药,确保安全、合理和经济用药。OBJECTIVE: To investigate the application status of calf spleen extractive injection(CSEI) in Changshu No.1 People’s Hospital(hereinafter referred to as "our hospital"), and evaluate the rationality of the medication, so as to provide reference for rational medication in clinic. METHODS: Retrospective study method was adopted to investigate the medical records of 356 inpatients who used CSEI in our hospital from Jan. to Aug. 2017. The department distribution, age and clinical diagnosis, the usage and dosage of CSEI, the treatment course of medication and combined medication were statistically analyzed. RESULTS: Among the 356 patients, the number of cases in oncology department took the lead(188 cases, 52.81%). There were 328 cases(92.13%) aged over 50 years old. A total of 312 cases(87.64%) were clinically diagnosed with tumors. The average course of treatment of CSEI was 4.80 d. All drugs were given by "intravenous drip,once a day". Solvent selection was basically consistent with the drug specification. However, there were still some irrational medications, such as excessive concentration of the drugs. CONCLUSIONS: There are still some irrational phenomena in the application of CSEI in our hospital, and the drug application should be strictly regulated in accordance with the drug instructions in the future, so as to ensure the safe, rational and economical medication.

关 键 词：小牛脾提取物注射液 住院患者 免疫增强剂 辅助用药 合理用药 分析 

分 类 号：R979.5[医药卫生—药品]