我院妊娠期妇女门诊用药的合理性分析  

Rationality Analysis of Drug Use of Pregnant Women in the Outpatient Department of Our Hospital

作　　者：马晓玮 顾红燕 栗芳 屠京慧 MA Xiaowei;GU Hongyan;LI Fang;TU Jinghui(Dept.of Pharmacy,Beijing Shijitan Hospital Affiliated to Capital Medical University,Beijing 100038,China;Beijing Key Lab of Clinical Rational Drug Use Evaluation,Beijing 100038,China;International Cooperative Joint Laboratory for Clinical Rational Drug Use Evaluation,Beijing 100038,China;Dept.of Obstetrics,Beijing Shijitan Hospital Affiliated to Capital Medical University,Beijing 100038,China)

机构地区：[1]首都医科大学附属北京世纪坛医院药学部,北京100038 [2]临床合理用药评价北京市重点实验室,北京100038 [3]临床合理用药评价国际合作联合实验室,北京100038 [4]首都医科大学附属北京世纪坛医院产科,北京100038

出　　处：《中国药房》2021年第9期1114-1117,共4页China Pharmacy

基　　金：临床合理用药生物特征谱学评价北京市重点实验室建设经费(No.BZ0439);北京市优秀人才培养资助项目(No.2018000021223TD09)。

摘　　要：目的:探讨我院妊娠期妇女门诊用药的合理性,促进临床合理用药。方法:利用医院信息管理系统,抽取首都医科大学附属北京世纪坛医院2019年1-12月全部产科门诊孕妇用药处方,对用药种类、用药频度(DDDs)、安全性级别及中成药使用情况进行统计和分析。结果:我院妊娠期妇女门诊最常使用的是维生素及微量元素类药品,其次为血液系统及激素类药品。安全级别较高的B类药品品种最多,未分级药品的使用情况基本合理,未使用X级药品。妊娠期妇女共使用中成药6种,其中说明书标识“可用”的有2种,说明书未注明的有4种,未使用说明书标识为“禁用”和“慎用”的中成药。结论:我院妊娠期妇女门诊用药总体较为合理,但在孕期使用某些中成药的安全性需进一步证实。OBJECTIVE:To investigtae the rationality of drug use of pregnant women in the outpatient department of our hospital,and to promote rational drug use in the clinic.METHODS:The prescriptions of pregnant women in Beijing Shijitan Hospital Affiliated to Capital Medical University from Jan.to Dec.in 2019 were extracted by using hospital information management system,and then analyzed statistically in respects of drug varieties,DDDs,safety grading,and use of Chinese patent medicine.RESULTS:The most frequently used drugs in obstetric outpatients were vitamins and microelements,followed by blood system and hormone drugs.Grade B drugs with good safety were most used,the use of ungraded drugs were reasonable,and grade X drugs were not used.There were 6 kinds of Chinese patent medicines used for pregnant women,of which 2 kinds were marked“usable”in the drug instructions,4 kinds were not marked in the dug instructions,and the Chinese patent medicines that were not marked“prohibited”and“cautious”in the drug instructions were not used.CONCLUSIONS:The drug use of pregnant women are generally reasonable in outpatient department of our hospital.The safety of some Chinese patent medicine used during pregnancy still needs to be further confirmed.

关 键 词：妊娠期 门诊 用药频度 安全性分级 药师作用 

分 类 号：R984[医药卫生—药品] R969.3[医药卫生—药学]