某三甲医院骨科住院患者药物利用定量分析

Quantitative analysis of drug utilization in orthopedics inpatients in a grade 3 and first-class hospital

目的:了解某三甲医院2009–2011年骨科病区的药物使用情况及用药趋势,为临床合理用药提供参考。方法:利用医院网络信息系统数据库,检索2009–2011年骨科病区药物使用数据,采用金额排序、用药频度分析方法,对药物利用情况进行统计分析。结果:某三甲医院2009–2011年骨科住院患者使用的抗感染药物消耗金额构成比分别为61.28%,56.64%,25.23%,消化系统用药消耗金额构成比分别为9.06%,9.61%,16.48%;抗感染药物消耗金额年增长率分别为19.14%,-63.88%;消化系统用药的消耗金额年增长率分别为36.80%,38.93%。结论:抗感染药物和消化系统药物在该医院骨科住院患者中应用广泛,并且存在不合理用药现象,应加强监管和指导。

Objective： To investigate the current situation and developing trend of drug utilization in orthopedics department in a grade 3 and first-class hospital from 2009 to 2011, in order to provide reference for rational drug use. Methods： Data regarding the drug utilization in orthopedic patients during the period from 2009 to 2011 were retrieved from hospital network information system, and analyzed statistically by using the methods of amount of sorting and DDDs. Results： The constituent ratios of consumption sum of anti-infective drugs over three consecutive years were 61.28%, 56.64% and 25.23%, respectively, and those ratios of digestive system drugs were 9.06%, 9.61% and 16.48% in our hospital from 2009 to 2011, respectively. The annual growth rates of the consumption sum of anti-infective drugs were 19.14% and -63.88% respectively; and those of digestive system drugs were 36.80% and 38.93%, respectively. Conclusion： Anti-infective drugs and digestive system drugs were widely used in orthopedic patients in our hospital. Supervision and guidance should be strengthened for controlling irrational use of drugs.