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作 者:王霄女 陶文斌 杨璐璐 龚媛媛 徐昕明 徐帆 WANG Xiaonü;TAO Wenbin;YANG Lulu;GONG Yuanyuan;XU Xinming;XU Fan(College of Pharmacy,Dali University,Dali 671000,China;No.920 Hospital of Joint Logistic Support Force of PLA,Kunming 650032,China)
机构地区:[1]大理大学药学院,云南大理671000 [2]中国人民解放军联勤保障部队第九二〇医院,云南昆明650032
出 处:《药学实践杂志》2021年第4期379-383,共5页Journal of Pharmaceutical Practice
摘 要:目的分析联勤保障部队云南地区野外驻训期间药品消耗情况,总结卫勤人员用药特征,分析用药规律,为模块化药品保障提供依据。方法收集整理2020年4至6月驻训期间联勤保障部队某机构人员的基本信息及药品使用情况,以药品限定日剂量(DDD)为单位,计算药品使用指标,包括:药品日剂量数(DDDs)、药品日剂量费用(DDDc)、药品使用强度(DUI)、药物使用率(DUR)及药品排名比(R)等来描述用药特征。结果在驻训期间,肌肉骨骼系统药物的用量大,使用人数多;心血管系统药物、消化系统药物及激素类药物的用量大,但使用人数不多;感觉器官药物和皮肤科用药、清热剂(中成药)和呼吸系统药物的用量小,但使用人数多。以DDDs排名,用量最多的前3位药品是云南白药膏、云南白药创可贴、氯雷他定片。以DDDc排名,日费用最大的是布地奈德福莫特罗粉吸入剂。年龄增大,用药强度增加;女性的用药强度大于男性;不同类别人员的用药强度不同。结论肌肉骨骼系统药物是野外驻训期间需重点保障的药品;对于有自身基础疾病的驻训人员应根据用药需要及任务时长,制定个人基础疾病药品保障清单,提交药材保障部门,做好携行药品保障;影响野外驻训模块化药品保障的因素包括:任务类型、地域、节气、时长和人员构成等。Objective To analyze the drug consumption of the joint logistics support force during field training in Yunnan,summarize the drug use characteristics of medical staff,and analyze the drug use rules,so as to provide the basis for modular drug support.Methods The basic information and drug use of the personnel in an institution of the joint logistics support force during the resident training period from April to June 2020 were collected and sorted out.The drug use indicators were calculated by using the defined daily dose(DDD)as the unit,including:daily drug dose(DDDs),daily drug dose cost(DDDc),drug use intensity(DUI),drug utilization rate(DUR)and drug ranking ratio(R)were used to describe drug use characteristics.Results During the resident training period,the amount of musculoskeletal system drugs was large,and the number of users was large.The dosage of cardiovascular system drugs,digestive system drugs and hormone drugs was large,but the number of users was small.Sensory organ drugs,dermatological drugs,heat-clearing agents(Chinese patent medicine)and respiratory system drugs were small in dosages,but the number of users was large.Ranked by DDDs,the top 3 drugs with the highest dosage were Yunnan Baiyao plaster,Yunnan Baiyao Band-Aid and Loratadine Tablets.Ranked by DDDc,the largest daily cost was Budesonide and Formoterol Fumarate Powder for Inhalation.As age increases,the intensity of drug use increased;The intensity of drug use in women was greater than that in men.The intensity of drug use was different for different categories personnel.Conclusion Musculoskeletal system drugs are important drugs for field training.The task personnel should formulate a list of medicines for basic diseases based on their own medication for basic diseases and the duration of the task,and submit it to the medicinal material guarantee department to ensure the carrying drugs.The factors affecting modular drug support in field training include:task type,region,solar term,duration and personnel composition,etc.
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