糖皮质激素类药物应用情况与药学干预对策分析  

Analysis on Application of Glucocorticoid Drugs and Countermeasures of Pharmaceutical Intervention

作　　者：梁志豪 Liang Zhihao(Chinese and Western Pharmacy,Daqiao Health Center,Huazhou City,Guangdong Province,Huazhou 525132)

机构地区：[1]广东省化州市笪桥卫生院中西药房,化州525132

出　　处：《数理医药学杂志》2021年第1期65-67,共3页Journal of Mathematical Medicine

摘　　要：目的:研究糖皮质激素类药物的应用情况,并总结药学干预对策。方法:选择2018年2月~2020年4月某院糖皮质激素类药物处方200例,统计糖皮质激素类药物使用情况,分为对照组(遵医嘱给药)和干预组(予以药学干预)各100例,对比两组用药合理性。结果:200例病患中,内科占比(69.00%)明显高于妇产科(31.00%);在药物使用种类上,使用率最高的药物为地塞米松磷酸钠注射液,占比为48.00%,其次则为醋酸泼尼松片(23.00%);干预组中用药时间不当、自行停药、漏服次数>20%的病患比例分别为3.00%、4.00%、2.00%,均低于对照组(P<0.05);干预组中发生用药不良反应率及用药满意度分别为2.00%、92.00%,优于对照组(P<0.05)。结论:糖皮质激素类药物的临床应用广泛且效果满意,通过有效的药学干预,能显著提高用药安全性、改善疗效。Objective:To study the application of glucocorticoids and summarize the pharmaceutical intervention countermeasures.Methods:200 cases of glucocorticoid drug prescriptions in a hospital from February 2018 to April 2020 were selected,and the utilization of glucocorticoid drugs was counted;They were divided into control group(medication according to doctor's advice)and intervention group(given pharmaceutical intervention),with 100 cases in each group,and the rationality of drug use in the two groups was compared.Results:Among 200 patients,the proportion of internal medicine(69.00%)was significantly higher than that of Obstetrics and gynecology(31.00%).In terms of the types of drug use,it could be found that the most used drug was dexamethasone sodium phosphate injection,accounting for 48.00%,followed by prednisone acetate tablets(23.00%).In the intervention group,the proportion of patients with improper medication time,self withdrawal and missed medication times>20%were 3.00%,4.00%and 2.00%,respectively,which were lower than those in the control group(P<0.05).The adverse drug reaction rate and drug satisfaction in the intervention group were 2.00%and 92.00%respectively,which were better than those in the control group(P<0.05).Conclusion:Glucocorticoid drugs are widely used in clinical practice and the effect is satisfactory.Effective pharmaceutical intervention can significantly improve the safety and efficacy of medication.

关 键 词：糖皮质激素类药物 应用情况 药学干预 

分 类 号：R96[医药卫生—药理学]