糖尿病住院患者降糖药应用分析

Analysis of Hypoqlycemic Drug Use in Hospitalized Patients with Diabetes Mellitus

目的:对我院内分泌糖尿病患者降糖药应用情况进行调查分析,为临床合理用药提供参考。方法:查阅我院2011年6月至2012年6月内分泌科病历,采用回顾性分析法,设计调查表格,对降糖药使用情况进行调查,将所得数据用Excel2000软件进行统计分析。结果:382例患者应用降血糖药物,应用最多的是胰岛素,其次是双胍类药物;两药联合治疗的比例最高,其次为三药治疗;96例患者发生不良反应,其中低血糖反应27例。结论:我院内分泌病区糖尿病患者降血糖药物应用比较合理,但临床药师对患者的用药教育还比较欠缺,充分发挥临床药师作用,有利于降血糖药物的合理应用,并减少不良反应的发生。

Objective：To analyze the hypoqlycemic drug use in hospitalized patients with diabetes mellitus,providing reference for rational drug use in our hospital.Methods：We collected and analyzed data of Hypoglyoemic drug use and related adverse reactions by retrospective analysis in hospitalized patients with diabetes mellitus in our hospital from June 2011 to June 2012.Result：In this ananlysis,we included 365 patients,The most commonly used drug was insulin,followed by biguanides.The proportion of two-drug combination therapy was the highest,followed by triple therapy and monotherapy.Of 365 patients adverse events occurred in 96 patients,hypoglycemic occurred in 27 patients.Conclusions：Hypoglycemic drug use in hospitalized patients is rational.However,the education of the patients by clinical pharmacist is not enough.The clinical pharmacist should take an active part in education of the patients,promote rational and effective use of drugs so that the risk caused by adverse reactions can be reduced.