我院骨科药物使用的合理性评价

Rationality Evaluation of Drug Use in Orthopedics Department in Our Hospital

目的:了解中国中医科学院望京医院骨科药物的使用情况,为临床合理用药提供客观依据。方法:从该院2013年1月骨科门诊处方中随机抽取1 000张,采用限定日剂量(DDD)、用药频度(DDDs)、药物利用指数(DUI)、日用药金额及其与DDDs排序比进行分析,用Excel进行统计。结果:骨科所用西药中,DUI>1的占35.09%,DUI≤1的占64.91%;金额与DDDs排序比>1的占54.39%,排序比<1的占43.86%。中成药中,DUI>1的占35.42%,DUI≤1的占64.58%;金额与DDDs排序比>1的占50.00%,排序比<1的占45.83%。外用药中,按类型分,贴剂所占比例最高,为56.71%;用量排在第1位的是狗皮膏,其消费金额占总金额的6.31%。结论:该院骨科药物多数使用合理,但仍有部分药物使用的合理性有待改进。

OBJECTIVE： To understand the use of orthopedics drugs in Wangjing Hospital, and to provide reference for rational drug use in the clinic. METHODS： 1 000 outpatient prescriptions randomly collected from orthopedic outpatient department in Jan. 2013 were analyzed statistically by using Excel in terms of DDD, DDDs, DUI, DDC, ratio of DDC to DDDs. RESULTS： Among western medicines, DUI of 35.09% western medicines was greater than 1 and that of 64.91% was smaller than 1. The ratio of DDC to DDDs of 54.39% western medicines was greater than 1, and that of 43.86% was smaller than 1. Among Chinese patent medicines, DUI of 35.42% Chinese patent medicines was greater than 1 and that of 64.58% was smaller than 1. The ratio of DDC to DDDs of 50.00% Chinese patent medicines was greater than 1 and that of 45.83% was smaller than 1. The proportion of plaster use occupied 56.71% of drugs for external use. The dog-skin plaster was the best-selling drugs for external use, the consumption sum of which occupied 6.31% of total. CONCLUSIONS： In most cases, drug use is rational in orthopedic department of the hospital. However, the use of orthopedics drugs still needs to be improved in the future.