3890例儿科住院患者辅助用药应用分析

Analysis on Application of Adjuvant Drugs in 3890 Pediatric Inpatients

目的:了解儿科辅助用药应用情况,为儿科辅助用药合理性评价、分析和管理提供依据。方法:对德州市人民医院(以下简称"我院")2015年1—12月儿科住院患者辅助用药情况进行分析,通过Excel软件进行数据处理,评价用药的合理性。结果:2015年1—12月,儿科住院患者共3 890例,共使用辅助用药10 538频次,维生素类药物应用频次数最多,为984次(占49.6%);不合理用药频次为1 732次,其中超年龄用药984次(占56.8%),居不合理用药的首位,中药注射剂不合理应用频次数最多(1 311频次,占75.7%)。结论:儿科存在辅助用药联合应用情况,维生素类、中药注射剂、肠外营养类药物不合理应用频次数排序居前3位,应重点管控;临床应加强对超年龄用药的监控,促进儿科合理用药。

OBJECTIVE： To investigate the application of adjuvant drugs in 3 890 pediatric inpatients,so as to provide reference for the rationality evaluation,analysis and management of application of adjuvant drugs. METHODS：Analysis was conducted on application of adjuvant drugs in pediatric inpatients in Dezhou People＇s Hospital（ hereinafter referred to as ＂our hospital＂） from Jan. to Dec. 2015. Application rationality was evaluated through EXCEL software.RESULTS： From Jan. to Dec. 2015,there were 3 890 pediatric inpatients,with the application frequency of adjuvant drugs of 10 538; and vitamins took the lead,totally 984 cases（ 49. 6%）; the irrational application frequency was 1 732,among which 984 cases（ 56. 8%） were over-age administration,dominated the first place of irrational drug application.And the irrational application frequency of Traditional Chinese Medicine injections was the most（ 1 311 cases,75. 7%）.CONCLUSIONS： There are phenomenon as adjuvant drugs with drug combination in pediatrics of our hospital,the top three drugs ranked by irrational application frequency are respectively vitamins,traditional Chinese medicine injections and parenteral nutrition drugs,which need to be strictly monitored. The clinic should strengthen the monitoring on overage administration,so as to promote the rational application of drugs in pediatrics.