我院2014年上半年住院科室糖皮质激素使用情况调查分析

Analysis on prescriptions of glococorticoid drugs for inpatients

目的分析住院患者糖皮质激素使用情况,为临床管理和合理用药提供参考.方法以专业用药指南和药品说明书为依据,利用合理用药监测系统(PASS)系统对我院2014年1月-6月上半年使用糖皮质激素的住院患者的病历进行分析点评,将点评结果和数据进行分析.结果上半年所有出院患者中糖皮质激素使用率为22.97%,其中内科各病房的使用率较高.使用量排名前5位的依次为氢化可的松、布地奈德雾化液、甲泼尼松琥珀酸钠、地塞米松注射液、泼尼松片.给药途径前三名分别为静脉或肌注占98.02%,雾化吸入占33.07%,外用占7.71%.我院糖皮质激素的使用剂量和频次均未超过我院规定的限定日剂量.结论糖皮质激素临床应用随意性较大,存在用药不合理的地方,需要对糖皮质激素的临床应用加强管理.

Objective To analyze of the prescriptions of glococorticoid drugs for inpatients and provide evidence for rational clinical medication.Methods.Based on professional medication guide and the drug instructions,all the medical records with glucocorticoid prescription in first half of 2014 were selected and analyzed by prescription automatic screening system(PASS).Results The overall rate of glucocoricoid prescription was 22.97%in all inpatients,in which internal medical departments accounted for the most.Hydrocortisone,budesonide,methylprednisolone sodium succinate,dexamethasone and prednisone were the five most frequently used medicine.The most common administration route as follows:Intravenous or intramuscular injection(98.2%),aerosol inhalation(3307%)and external use(7.71%).The dosage and frequency were properly controlled under dose-limiting.Conclusion Strengthening management is required for the unreasonable prescriptions of glucocorticoid use.