运用有限理性决策模型分析喜炎平注射液在临床中的应用

Survey and analysis of the usage of Xiyanping injection in clinical practice using the models of bounded rationality

目的了解喜炎平注射液的使用情况,同时向临床药师推介有限理性决策模型的运用。方法利用有限理性决策模型回顾性分析、评价喜炎平注射液的使用情况。结果 329例中,有230例分布于儿科,占总数的69.9%;用于上呼吸道感染229例(69.3%),小儿腹泻85例(25.8%),手足口8例(2.4%),2.4%的病例为超说明书用药;89.06%的病例联合应用抗生素,但医嘱中未标示冲洗输液管以及滴速控制等。结论有限理性决策模型可作为喜炎平注射液合理应用的评价模型。

Objective To survey and analyze the current usage of Xiyanping injection in clinical practice and introduce the models of bounded rationality into the practices of clinical pharmacist. Methods Boundedly rational decision making model was used to retrospectively analyze and evaluate the usage of Xiyanping injection in clinical practice. Results A total of 329 patients＇ prescriptions were audited. Xiyanping injection was mainly used for pediatrics that accounted to 69. 9%（ 230）. The most commonly observed usage was for upper respiratory tract infection（ 69. 3%） followed by diarrhea in children（ 25. 8%）,hand,foot and mouth disease（ 2. 4%） and the remaining 2. 4% was considered as non-compliant with instruction usage. 89. 06% of the total were combined use of Xinyanping and antibiotics,but in the medical prescriptions pipe washing and control of dripping speed were not marked clearly.Conclusions The bounded rationality can be used as the model for the evaluation of the rational usage of Xiyanping injection in clinical practice.