脾胃病科患者出院带药特征及不合理情况分析  

Analysis on the characteristics and unreasonable situation of discharge medication in patients from the department of spleen and stomach diseases

作　　者：张虹鑫 赵飞燕 黄俊 秦媛媛 黄玉宇 张夏兰 ZHANG Hong-xin;ZHAO Fei-yan;HUANG Jun(Suzhou TCM Hospital Affiliated to Nanjing University of Chinese Medicine,Suzhou 225009,China)

机构地区：[1]南京中医药大学附属苏州市中医医院,江苏苏州225009

出　　处：《中国处方药》2024年第8期60-63,共4页Journal of China Prescription Drug

基　　金：江苏省药学会-天晴医院药学基金科研项目(Q202121)。

摘　　要：目的通过分析某院脾胃病科患者出院带药特征及不合理情况,为出院带药的合理性管理提供参考。方法选择2021年1月1日~2022年12月31日某院脾胃病科出院患者,通过Excel表格录入患者的基本信息、住院天数、出院时的中医和西医诊断、出院带药药品分类及用法用量、疗程及合理性。结果共纳入1239例患者,有基础病的1213例,平均住院(7.85±4.84)d;平均每例出院带药(2.17±1.23)种;患者出院带药中脾胃病用药前三名分别是质子泵抑制剂、铝镁加混悬液、复方谷氨酰胺肠溶胶囊,非脾胃病用药前三名分别是心脑血管系统用药、非脾胃病用中成药和精神病类用药;出院带药药物疗程最长的是甲状腺病用药,平均(78.50±49.58)d;最少的是除质子泵抑制剂之外的脾胃病用药以及非脾胃病用中成药,平均疗程分别为(11.50±6.62)d、(10.69±6.19)d。结论首先,脾胃病科患者出院带药主要集中在消化内科用药和心脑血管系统用药、中成药、精神类疾病用药;其次,不合理出院带药主要为消化内科用药、前列腺病用药等;最后,出院带药缺乏用药交代,且疗程偏长。Objective Through analyzing the characteristics and unreasonable situation of discharge medication in patients from the department of spleen and stomach diseases in a hospital,to provide reference for rational management of discharge medication.Methods Patients discharged from the department of spleen and stomach diseases of a hospital from January 1,2021 to December 31,2022 were selected,the patient's basic information,hospitalization days,diagnosis of Chinese medicine and Western medicine at discharge,classification,usage,dosage,course of treatment,and rationality of discharge medication were recorded through Excel table.Results A total of 1239 patients were included,of which 1213 had basic chronic disease,with an average hospitalization of(7.85±4.84)days,the average person discharged with(2.17±1.23)kinds of drugs;the top three drugs used by patients with spleen and stomach diseases were proton pump inhibitors,aluminum and magnesium plus suspension,and compound glutamine enteric-soluble capsules,while the top three drugs for non-spleen and stomach diseases were cardio-cerebrovascular system drugs,proprietary Chinese medicines for non-spleen and stomach diseases,and psychiatric drugs.The longest course of discharge medication was for thyroid disease,with an average(78.50±49.58)d;the least were for spleen and stomach diseases other than proton pump inhibitors and proprietary Chinese medicines for non-spleen and stomach diseases,with average courses of(11.50±6.62)d and(10.69±6.19)d.Conclusion First of all,the discharge medication in patients from the department of spleen and stomach diseases are mainly concentrated in gastroenterology drugs and cardio-cerebrovascular system drugs,Chinese patent drugs,psychiatric drugs;secondly,the unreasonable discharge medication are mainly concentrated in gastroenterology drugs and prostate disease medicine;finally,discharge medication lack of medication account,and the course of treatment is too long.

关 键 词：用药特征 脾胃病 出院用药 

分 类 号：R95[医药卫生—药学]