150例急性脑梗死住院患者用药特点分析

Analysis of the Characteristics of Drug Use in 150 Inpatients with Acute Cerebral Infarction

目的:给脑梗死住院患者用药提供最佳参考依据。方法:采用随机程序抽取南宁市中医院2011年1月-2013年1月急性脑梗死患者病历150份,对其用药情况进行统计、分析。结果:治疗急性脑梗死的药物主要包括脱水药、抗血小板聚集药、改善脑循环药、改善脑代谢药、活血化瘀中药及支持疗法用药,用药基本合理。治愈及好转为147例(98.00%),死亡2例(1.34%),未愈自动要求出院或转院1例(0.67%)。结论:脑梗死患者普遍存在住院时间长、治疗费用高、后遗症多、中西药使用繁多等问题,临床怎样选择最合适的药物及疗程值得研究。

OBJECTIVE： To provide reference for drug use in the inpatients with cerebral infarction. METHODS： The medica- tion information of 150 inpatients with acute cerebral infarction in Nanning Hospital of TCM between Jan. 2011 and Jan. 2013 was analyzed statistically by the design of random program. RESULTS： The majority cases were administered with dehydrants, drugs for anti-platelet aggregation, drugs for cerebral circulation and cerebral metabolism, TCM for activating blood circulation to dissi- pate blood stasis and supporting treatment. 147 cases were cured or improved （98.00%）; there were 2 death cases （1.34%）; an un- cured case was discharged from the hospital or transferred according to self requirements （0.67%） ; the use of drugs was rational ba- sically in those cases. CONCLUSIONS ： Long hospitalization stay, high cost, more sequela and a great uariety of Chinese and west- ern medicines are often found in cases of cerebral infarction. It is essential to conduct value study so as to find out the best therapeu- tic scheme.