成都大学附属医院2015-2017年门急诊氨酚双氢可待因使用情况分析  

Analysis of the application of paracetamol and dihydrocodeine tartrate in the Outpatient and Emergency Departments of the Affiliated Hospital of Chengdu University from 2015 to 2017

作　　者：李春秀[1] 汪洁[1] 张有金[1] LI Chunxiu;WANG Jie;ZHANG Youjin(Department of Pharmacy,Affiliated Hospital of Chengdu University,Chengdu 610081,China)

机构地区：[1]成都大学附属医院药剂科

出　　处：《药学服务与研究》2020年第1期58-61,共4页Pharmaceutical Care and Research

摘　　要：目的:调查成都大学附属医院门急诊氨酚双氢可待因的使用情况,为临床合理用药提供参考。方法:调取本院2015-2017年门急诊含氨酚双氢可待因的处方,对用药数据进行统计分析。结果:本院2015-2017年氨酚双氢可待因门急诊处方共1885张,处方数、药品用量和用药金额均呈逐年增长的趋势。氨酚双氢可待因的使用涉及22个临床科室,处方数排名前3位的科室分别为急诊科(38.25%)、泌尿外科门诊(25.84%)、呼吸内科(9.76%)。使用氨酚双氢可待因的病人年龄段集中在19~64岁(78.14%),男女比例为1.62∶1。氨酚双氢可待因(规格500 mg,按对乙酰氨基酚计)的用法用量以500 mg/次,每天3次为主(33.68%)。处方中的临床诊断,排名前3位的分别是泌尿、生殖系统疼痛(26.90%),创伤性疼痛(23.08%),咳嗽(11.62%)。结论:本院2015-2017年氨酚双氢可待因的使用情况基本合理,但仍存在部分不合理使用情况,建议严格按照药品说明书规定的适应证用药,以减少药品不良反应的发生,促进合理用药。Objective:To investigate the application of paracetamol and dihydrocodeine tartrate(PDT)in the Outpatient and Emergency Departments of the Affiliated Hospital of Chengdu University,so as to provide reference for rational use of drugs clinically.Methods:PDT prescriptions of the Outpatient and Emergency Departments of the Affiliated Hospital of Chengdu University from 2015 to 2017 were collected and the related data were analyzed statistically.Results:From 2015 to 2017,there were totally 1885 outpatient and emergency PDT prescriptions.The number of PDT prescriptions,the amount of drug consumption and drug cost increased year by year.The application of PDT involved 22 clinical departments.The top 3 clinical departments in terms of PDT prescription number were the Emergency Department(38.25%),Urinary Surgery Department(25.84%)and Respiratory Department(9.76%).The age of range for the patients treated with PDT were mainly those people between 19 to 64 years(78.14%)and the ratio of male to female was 1.62∶1.PDT tablets(each tablet containing 500 mg paracetamol)were mostly orally taken 500 mg per time,3 times a day(33.68%).The top 3 diagnosed disorders in PDT prescriptions were urinary and reproductive system pain(26.90%),traumatic pain(23.08%)and cough(11.62%).Conclusion:The application of PDT in the hospital from 2015 to 2017 was on the whole rational,though irrational use of PDT still existed.It is recommended that medication should be strictly followed in accordance with indications specified in drug labels,so as to reduce adverse drug reactions and promote rational use of drugs.

关 键 词：氨酚双氢可待因 合理用药 药物利用评审 门诊 急诊 

分 类 号：R971.1[医药卫生—药品] R969.3[医药卫生—药学]