三聚氰胺污染奶粉所致泌尿系统结石住院患儿55例用药分析

Medication Usage Analysis of the 55 Children with Urinary Tract Stones Caused by Melamine

目的调查四川大学华西第二医院收治的食用三聚氰胺污染奶粉所致泌尿系统结石住院患儿治疗期间的药物利用情况。方法收集该院收治的55例三聚氰胺污染奶粉所致泌尿系统结石患儿治疗期间的病历资料及用药记录等,对用药品种数、用药量、用药例次数、人均药费、日均药费等药物利用评价指标进行回顾性分析。结果该55例住院患儿共计应用19类117种药物,应用例次数最多的是金钱草冲剂,用量最多的是0.9%氯化钠注射液,费用最高的是头孢米诺粉针,药品费用的分布不平衡。结论四川大学华西第二医院救治三聚氰胺污染奶粉致泌尿系统结石患儿的用药选择符合指南推荐,但由于缺乏儿童合理用药指标和推荐用药剂量而无法量化,有待基础数据的研究。如何分担伴有基础性疾病患儿救治费用减轻国家负担是值得探索的问题。

Objective To investigate the medication usage in 55 children with urinary tract stones due to melamine contaminated milk powder who were treated in West China Second University Hospital, Sichuan University were collected. Methods The hospital＇s patient records for the 55 melamine poisoning cases leading to urinary tract stones. Using Assess and excel software to analyze the frequency and sum of drug use, as well the average daily costs and per capita cost for patients. Results For the 55 cases of urinary tract stones, a total of 19 categories and 117 kinds of drugs were used. It was been found that Herba Lysimachiae granules were the most used medicine. The most costly was Cefminox, and finally the drug used in the highest quantity was 0.9 percent sodium chloride injection, the drug cost distribution is unevenness. Conclusions The rationality valuation for children medication lacks of international vulgate index, methodology and needs more basic research. It is worth to study the burden of children with basic disease.