上海市普陀区妇婴保健院门诊复方口服避孕药使用分析与现状思考  

Analysis of usage of combined oral contraceptives in the Outpatient Department of Maternal and Child Health Care Center of Putuo District of Shanghai and current situation thinking

作　　者：林涛 刘晶晶 LIN Tao;LIU Jingjing(Pharmacy Department of Maternal and Child Health Care Center of Putuo District,Shanghai 200062,China)

机构地区：[1]上海市普陀区妇婴保健院药剂科,上海200062

出　　处：《上海医药》2023年第16期10-13,25,共5页Shanghai Medical & Pharmaceutical Journal

摘　　要：目的:调查分析上海市普陀区妇婴保健院门诊复方口服避孕药(combined oral contraceptives,COCs)的使用情况,为促进COCs的合理用药提供依据。方法:通过普陀区妇婴保健院信息系统选取于2022年1月1日—12月31日使用过COCs的所有门诊处方,排除未收费和退药的处方,共1027张,收集其使用者的年龄、主要临床诊断、用药品种和用法用量等信息,对相关信息进行汇总、筛选和分析。结果:1027张COCs门诊处方中,使用者年龄最小为11岁,最大为55岁,20~39岁是COCs的主要使用年龄段,有841名(81.9%)。1027条COCs用药记录中,排名前3位的临床诊断分别为异常子宫出血、多囊卵巢综合征和子宫内膜异位症,均为非避孕用途,临床诊断为女性避孕的COCs用药记录仅有46条(4.5%)。炔雌醇环丙孕酮片最常使用于治疗多囊卵巢综合征,屈螺酮炔雌醇片最常使用于治疗异常子宫出血,2种COCs在普陀区妇婴保健院的临床使用差异具有统计学意义(P<0.001)。结论:普陀区妇婴保健院的COCs使用未见明显不合理问题,使用者多为育龄期女性,以治疗妇科内分泌疾病为主,单纯用于避孕的使用者较少。Objective:To investigate and analyze the use of combined oral contraceptives(COCs)in Outpatient Department of Maternal and Child Health Care Center of Putuo District of Shanghai,in order to provide a basis for promoting the rational use of COCs.Methods:A total of 1027 prescriptions were selected among all outpatient prescriptions that used COCs from January 1 to December 31,2022 through the information system of Maternal and Child Health Care Center of Putuo District,excluding those that were not charged or returned,and the age,main clinical diagnosis,medication variety,usage and dosage of the users,and relevant information were collected,summarized,screened,and analyzed.Results:Among the 1027 COCs outpatient prescriptions,the minimum age of users was 11 years old and the maximum age was 55 years old,and the main age range for COCs use was between 20 and 39 years old,with 841 accounting for 81.9%.Among the 1027 COCs medication records,the top three clinical diagnoses were abnormal uterine bleeding,polycystic ovary syndrome,and endometriosis,all were for non-contraceptive purposes,and only 46 that accounted for 4.5%of COCs medication records were clinically diagnosed as female contraception.Ethinylestradiol and cyproterone acetate tablets were most commonly used in the treatment of polycystic ovary syndrome,drospirenone and ethinylestradiol tablets were most commonly used in the treatment of abnormal uterine bleeding,and the clinical use of two kinds of COCs in Maternal and Child Health Care Center of Putuo District was statistically significant(P<0.001).Conclusion:There are no obvious unreasonable issues with the use of COCs in the Maternal and Child Health Care Center of Putuo District,the users are mostly women of childbearing age,which mainly treats gynecological endocrine diseases,and there are fewer users who are solely used for contraception.

关 键 词：妇婴保健院 复方口服避孕药 使用情况 合理用药 药学服务 

分 类 号：R969.3[医药卫生—药理学]