2010—2011年上海市闵行区中心医院辅助用药使用分析

The application analysis of auxiliary medicine in Minhang district central hospital of Shanghai from 2010 to 2011

目的分析上海市闵行区中心医院辅助用药情况,为临床合理用药及医院药品调控提供参考依据。方法利用医院信息系统,收集医院2010—2011年60种辅助用药的用药金额、用药数量等相关数据进行分析。结果医院辅助用药使用科室分布较集中,门诊、急诊辅助用药较多的科室分别为中医内科、神经内科及骨科。病区辅助用药较多的科室分别为神经内科、普外一科、普外二科等。辅助用药群体以老年患者为主。与2010年相比,2011年医院辅助用药金额明显增加,其中胃肠道保护剂及保肝药的用药频度较其他类别辅助用药大幅增加。结论医院辅助用药使用的增加,一方面说明了临床的需要,另一方面也需要进一步加强管理,避免不合理用药的发生。

Objective Through the investigation of auxiliary medicine in Shanghai Minhang district central hospital, in order to provide the reference of rational drug use in clinic and pharmaceutical management. Methods Using the hospital information system, we collected and analysed the data including the amounts and quantities of the 60 auxiliary medicine in the hospital from 2010 to 2011. Results The department distribution of auxiliary medicine was centralized. In outpatient department, Chinese internal medicine, neurology department, orthopedics department had more auxiliary medicine phenomenon. In inpatient department, neurology department, general surgery department 1 and 2 had more auxiliary medicine phenomenon. The main auxillary medicine group was elderly patients. Compared with that in 2010, the amount of auxiliary medicine in hospital in 2011 was obviously increased, and the DDDs of gastrointestinal protective drugs and hepatoprotective drugs were significantly increased. Conclusion The increasing use of auxiliary medicine show the need of clinical. We should strengthen the management of the auxiliary medicine to avoid the irrational use.