某院2010-2013年非甾体抗炎药物临床利用情况分析

Analysis of Clinical Use of NSAIDs in A Hospital from 2010 to 2013

目的:为有效反映非甾体抗炎药在某院的临床应用情况,分析其临床应用趋势,提高非甾体抗炎药应用的安全性、合理性和经济性,从经济学的角度对某院2010-2013年非甾体抗炎药物临床使用情况进行药物利用研究(DUR)。方法:采用回顾性调查方法,结合用药金额排序法、用药频度分析法、日均费用分析法和药物利用指数分析法等研究方法,对某院2010-2013年非甾体抗炎药的临床使用情况进行统计分析。结果:该院非甾体抗炎药销售金额每年小幅度增长,阿司匹林、美洛昔康等用药频度较高,除部分特异性COX-2抑制剂外,各类常用非甾体抗炎药日均费用较低但部分药物的药物利用度不高。结论:具有选择性的非甾体抗炎药成为新的用药趋势,提高非甾体抗炎药的利用度是今后医院改革的工作重点。

Objective： In order to effectively reflect the clinical use of non-steroidal anti-inflammatory drugs （NSAIDs） in our hospital, analyze the trend of the clinical application and improve the safety, rationality and economical efficiency of NSAIDs, the clinical applications of NSAIDs from 2010 to 2013 in our hospital were analyzed from the angle of economics based on drug utilization research （DUR）. Methods： A retrospective survey was conducted combining with the methods such as consumption sum sorting, DDDs analysis, average daily cost analysis and drug utilization index analysis, etc., a statistical analysis was made on the clinical use of NSAIDs in our hospital from 2010 - 2013. Results： The sales amount of NSAIDs increased each year in small steps, DDDs of aspirin and meloxicam were relatively high, except for some specific COX-2 inhibitors, the average daily costs of various types of commonly used NSAIDs were low but some drugs＇ utilization degree was not high. Conclusion： The use of selective NSAIDs has become as a new trend of medication, and to improve the utilization degree of NSAIDs will be the focus of hospital reform in the future.