平湖地区痛风患者处方用药情况调查及对策

Investigation of prescription medications against gout and countermeasure in Pinghu

目的:统计分析平湖地区门诊痛风患者处方用药情况,针对存在的问题,提出相应的应对策略。方法:抽查平湖地区所有医院门诊患者电子处方,对第一诊断为痛风及与痛风有关的处方进行处方张数、姓名、性别、年龄、诊断、就诊科室、医生和用药情况的导出,并对用药情况进行整理归类和审核,最后统计分析。结果:平湖地区第一诊断为痛风及与痛风有关的处方,抗菌药物使用率高达59.23%,静脉用药使用率55.15%,糖皮质激素使用率60.76%,糖皮质激素注射剂处方占糖皮质激素处方总数的92.29%,质子泵抑制剂注射液占胃黏膜保护药的28.07%。结论:针对平湖地区痛风患者处方用药中存在的无适应症使用抗菌药物、静脉用药使用率高、糖皮质激素和质子泵抑制剂注射剂使用率高等不合理情况,对医生进行痛风病的药物治疗培训,对患者进行用药宣教,对痛风病处方进行逐月点评和跟进干预。

OBJECTIVE To summary and analyze prescription medication against gout in outpatients in Pinghu,propose countermeasures against the present problems.METHODS All electronic prescriptions of gout outpatients were selected from all comprehensive hospitals in Pinghu to export prescriptions with gout as the first diagnosis and gout related prescriptions,summarize prescription amount,patient name,gender,age,diagnosis,medical departments,doctors and drugs used,classify and review medications,and perform statistical analysis.RESULTS Of prescriptions for gout as the first diagnosis and those related with gout in Pinghu,59.23% used antibiotics,55.15% used intravenous drugs,60.76% used glucocorticoid including 92.29%of injection dose,and 28.07% used proton pump inhibitors for gastric mucosal protection.CONCLUSION For irrational conditions including administering antibiotics without indication,high usage of intravenous medication,high usages of glucocorticoid injection and proton pump inhibitor injection,training on gout drugs should be provided to physicians,medication education provided to patients,and gout prescriptions should be evaluated and intervened month by month.