基于加权逼近理想解排序法对儿科应用喜炎平注射液的药物利用评价  

Drug Utilization Evaluation of Xiyanping Injection Based on Weighted Technique for Order Preference by Similarity to Ideal Solution Method in Pediatrics

作　　者：李芬[1] 杨世红[1] 王华[1] Fen;Yang Shihong;Wang Hua(The First People’s Hospital of Xinxiang,Henan Xinxiang 453000,China)

机构地区：[1]新乡市第一人民医院,河南新乡453000

出　　处：《儿科药学杂志》2024年第9期5-8,共4页Journal of Pediatric Pharmacy

摘　　要：目的:探讨喜炎平注射液药物利用评价(DUE)标准的建立与应用,为喜炎平注射液在儿童患者中的合理使用提供参考。方法:以喜炎平注射液说明书为基础,参考相关共识及指南建立新乡市第一人民医院喜炎平注射液DUE标准,并采用加权逼近理想解排序(TOPSIS)法对我院2023年3-6月使用喜炎平注射液的130份患儿归档病历进行评价及分析。结果:制订的喜炎平注射液DUE标准包括用药指征、用药过程、用药结果3个方面,11项评价指标。经评价我医院患儿在喜炎平注射液使用过程中存在的主要问题为用法用量不适宜24例(18.46%)、无适应证用药15例(11.54%)、用药疗程不适宜12例(9.23%)、给药速度不适宜6例(4.62%)。结论:基于加权TOPSIS法的儿科应用喜炎平注射液DUE方法可综合多个评价指标,操作性强,评价方法简便灵活,但我院儿科喜炎平注射液的临床应用存在不合理使用现象,应加强点评和干预。Objective:To explore the establishment and application of drug utilization evaluation(DUE)criteria for Xiyanping injection,so as to provide references for the rational application of Xiyanping injection in Pediatrics.Methods:Based on drug instructions of Xiyanping injection and by referring to the relevant expert consensus and guidelines,DUE criteria for Xiyanping injection in the First People’s Hospital of Xinxiang was established,and the weighted technique for order preference by similarity to ideal solution(TOPSIS)method was employed for evaluating a total of 130 pediatric archived medical records of Xiyanping injection from Mar.to Jun.2023.Results:DUE criteria for Xiyanping injection was established from medication indications,medication process and medication results,with 11 evaluation indicators.After evaluation,the main problems in the application of Xiyanping injection in children in the hospital were improper usage and dosage in 24 cases(18.46%),non-indication medication in 15 cases(11.54%),improper course of treatment in 12 cases(9.23%),and inappropriate interval of drug administration in 6 cases(4.62%).Conclusion:DUE criteria for Xiyanping injection in Pediatrics based on weighted TOPSIS method can integrate multiple evaluation parameters,with a strong operability.And the evaluation method is simple and flexible.However,there are some irrational application of Xiyanping injection in Pediatrics,and the clinic should strengthen the reviews and interventions.

关 键 词：加权逼近理想解排序法 喜炎平注射液 儿童 合理性评价 

分 类 号：R917[医药卫生—药物分析学]