基于大数据的医院抢救车内急救药品应用分析

Usage of first-aid medicines from resuscitation carts:analysis based on Big Data

目的分析综合医院抢救车内急救药品使用情况,为进一步规范抢救车内急救药品配置提供参考。方法通过信息管理中心收集1所三级甲等综合医院2016~2018年35个专科抢救用药信息,基于年消耗量、用药频度及专科使用率进行统计分析。结果3年内,肾上腺素、去甲肾上腺素的年消耗量、用药频度及专科使用率均较高;异丙肾上腺素、氨茶碱、异丙嗪均较低。急救药品清单中50%的药品专科使用率低于60%。各药品的年消耗量、用药频度及专科使用率间均存在相关性(均P<0.05)。结论当前抢救车内急救药品的基数与种类有待调整,且需考虑专科差异。

Objective To analyze the usage of first-aid medicines from resuscitation carts,and to provide reference for standardizing preparation of first-aid medicines in resuscitation carts.Methods First-aid medicines obtained through resuscitation carts for resuscitation were collected in 35 specialty departments from 2016 to 2018 in a tertiary hospital via the information management center,then data were analyzed to identify the annual consumption,use frequency,and use rate in different departments.Results The most frequently used medicines were adrenalin and noradrenalin within 3 years,but the most infrequently used were isoprenaline,aminophylline and promethazine.The use rate of half of the medicines on first-aid medicine list was less than 60%.There were significant correlations among the annual consumption,use frequency and use rate of each medicine(P<0.05 for all).Conclusion The amounts and kinds of essential first-aid medicines in resuscitation carts should be adjusted by considering specialty.