非ICU住院患者预防性使用注射用奥美拉唑的合理性评价

Rationality Evaluation of Intravenous Omeprazole Preventively Used in Non-ICU Patients

目的探讨非ICU患者预防性使用注射用奥美拉唑的合理性。方法回顾性收集宁波第二医院2014年2月出院并预防性使用注射用奥美拉唑的病历(ICU除外)中的数据,根据标准判断其合理性。结果 273份病历中使用合理的是56份(占20.5%),不合理的是217份(占79.5%),不合理的情形前3位依次是无预防用药指征、初始用药推荐选择口服剂型、疗程过长。结论医院管理部门宜建立相应标准,对临床加强教育宣导与干预,以改善注射用奥美拉唑预防性不合理使用的现状。

OBJECTIVE To discuss the rationality of intravenous omeprazole preventively used in non-ICU patients. METHODS Retrospectively collect the data from the medical record from Ningbo No.2 Hospital in February 2014 which preventively used intravenous omeprazole in non-intensive care unit and judge its rationality according to the standard. RESULTS There were 56（20.5%） reasonable cases in 273 cases of patients, while there were 217（79.5%） unreasonable cases. The unreasonable situation top three in turn were no prophylaxis indications, choice of initial drug use recommended oral dosage forms, the course was too long. CONCLUSION Currently the unreasonable situation of intravenous omeprazole preventively used is serious, the hospital management department should establish the standards, strengthen to clinical education and intervention to improve the unreasonable situation of intravenous omeprazole preventively.