某三甲综合医院36例儿童药物误服中毒病例分析及药学服务思考  

Analysis of 36 Cases of Drug Poisoning in Children in a Grade Ⅲ,Level A General Hospital and Consideration on Pharmaceutical Care

作　　者：王鹏[1] 徐颖 张晓明 张少楠[1] Wang Peng;Xu Ying;Zhang Xiaoming;Zhang Shaonan(The Second People’s Hospital of Anhui Wuhu,Anhui Wuhu 241000,China)

机构地区：[1]安徽省芜湖市第二人民医院,安徽芜湖241000

出　　处：《儿科药学杂志》2024年第2期25-28,共4页Journal of Pediatric Pharmacy

摘　　要：目的:了解安徽省芜湖市第二人民医院儿童药物误服中毒特点和探索药学服务的切入点。方法:回顾性分析我院2020-2021年36例药物误服中毒病例和对同期儿科病区住院的40例儿童家长进行问卷调查,了解我院儿童药物误服中毒一般资料和药物种类分布。对儿童家长进行问卷调查了解药物误服中毒的风险因素和药学服务的价值。结果:我院36例儿童药物误服中毒年龄主要集中在>1~3岁组(33.33%)和>3~6岁组(30.56%)。药品主要集中在降压药(27.03%)、感冒药(10.81%)、灭鼠药(10.81%)、农药(10.81%)、维生素制剂(10.81%)和抗精神病药物(8.11%)。调查显示药品箱配备率及有效使用率低,家庭药品存在乱放现象,院前急救知识匮乏,相关药学服务需求急切。结论:儿童药物误服中毒多为家中常用药品,且均与摆放不当有关,目前急需药师进行安全宣传和院前急救知识的培训。Objective:To investigate the characteristics of drug poisoning in children in the Second People's Hospital of Anhui Wuhu,and to explore the entry point of pharmaceutical care.Methods:Retrospective analysis was performed on clinical data of 36 cases of drug poisoning in our hospital from 2020 to 2021,and questionnaire survey for 40 children's parents(hospitalized in the pediatric ward during the same period) was conducted to investigate the general information of drug poisoning in children in our hospital and the distribution of drug categories.Parents were enrolled to investigate the risk factors of drug poisoning and value of pharmaceutical care.Results:The age of 36 cases of drug poisoning in our hospital was mainly concentrated in the >1 to 3 years group(33.33%) and >3 to 6 years group(30.56%).The main drugs were antihypertensive drugs(27.03%),common cold drugs(10.81%),rodenticides(10.81%) pesticide(10.81%) and vitamin preparations(10.81%) and antipsychotics(8.11%).The survey revealed a low rate of availability and effective use of drug kits,haphazard storage of medicines in the home,lack of knowledge of pre-hospital emergency care,and an urgent need for related pharmaceutical care.Conclusion:Children's drug poisoning is mostly related to commonly used drugs at home,and all of them are improperly placed,and there is an urgent need for pharmacists to be trained in safety promotion and pre-hospital first aid.

关 键 词：儿童 家庭药品 误服 药物中毒 

分 类 号：R95[医药卫生—药学]