摘要
目的:分析苏州大学附属第一医院各临床科室住院患者奥美拉唑的使用情况,探讨可能存在的问题。方法:调取医院信息系统中各临床科室2011年和2012年奥美拉唑的制剂使用数据,并从使用率、消耗量、消耗金额和用药频度等方面进行分析。结果:2012年奥美拉唑的使用率和消耗金额分别为28.20%和861.07万元,比2011年的29.77%和1 019.39万元呈现下降趋势,但消耗量从6 136.42 g上升至6 355.40 g,用药频度无明显变化;2012年奥美拉唑口服剂型使用人次、消耗量、消耗金额较2011年呈现上升趋势,而注射剂型则出现下降;其使用率前3位科室分别是重症医学科、口腔科和血液内科,而消耗量前3位则分别是普外科、血液内科和肿瘤科。结论:临床使用奥美拉唑存在过度预防的现象,需加强教育和管理,促进其合理使用。
Objective: To analyse and to discuss the potential problem about using of omeprazole in various clini- cal departments of A Triple A Class Hospital in Suzhou. Methods: The using data about omeprazole in every clinical de- partment from 2011 to 2012 were obtained from hospital information system, and the utilization ratio, consumption, con- sumptive amount of money and frequency of drug use were analysed. Results: The utilization ratio and consumptive amount of money of omeprazole in 2012 were 28.20% and 861.07 ten thousand yuan, down conpared with 29.77% and 1019.39 ten thousand yuan in 2011. The consumption was up from 613.64 g to 635.54 g, and there were no defferencesin frequency of drug use. The use quantity, consumptive amount of money and consumption of omeprazole oral formula- tion in 2012 were raised significantly, but the injection was just contrary. The utilization ratio in the top three were ICU, stomatology and internal medicine of hematology, while the consumption in the top three was general surgery, oncology department and internal medicine of hematology. The result does not reflect characteristics of the specialty of omepra- zole. Conclusion: The clinical excess use of omeprazole in prevention must be limited and properly and managed to im- prove the reasonable application ofomeprazole.
出处
《抗感染药学》
2014年第1期52-57,共6页
Anti-infection Pharmacy