2016年1月我院住院患者口服片剂分劈使用情况统计与分析

Statistics and Analysis of Splitting Use of Oral Tablets in the Inpatients of Our Hospital in Jan. 2016

目的:了解我院常用分劈药品使用情况,促进分劈药品的合理使用。方法:对2016年1月我院住院患者口服片剂医嘱,分别从片剂分劈药品总用量、分类用量以及科室用量、含刻痕药品占比等进行统计与分析。结果与结论:2016年1月我院住院患者使用片剂医嘱总量为217389条,分劈使用医嘱为12792条,分劈使用率为5.88%;片剂分劈使用最多的药物是心血管系统用药和神经系统用药,分别占总分劈医嘱的53.31%、20.72%;片剂分劈使用医嘱最多的科室是呼吸与危重症医学科;分劈医嘱数居前10位科室的分劈医嘱有8993条,占全院总分劈医嘱的70.30%;分劈药品数居前20位药品的分劈医嘱有8971条,占总分劈医嘱的70.13%,而其中带有刻痕的品种有14种,带刻痕药品分劈医嘱有7506条,占前20位分劈医嘱的83.67%;所有分劈药品中带刻痕的有49种,其分劈医嘱有9265条,带刻痕药品分劈医嘱占分劈药品总医嘱的72.43%。针对大多数药品说明书中有关片剂可否掰开服用信息缺乏的现象,建议制药企业在药品说明书中标注可否掰开服用信息;对于常用的分劈非刻痕药品,建议企业加上刻痕或生产小规格药品。

OBJECTIVE：To investigate the utilization of the most used splitting drugs in the inpatients of our hospital,and to promote rational use of splitting drugs. METHODS：The medical orders of oral tablets in the inpatients of our hospital in Jan. 2016 were analyzed statistically in respects of consumption quantity,classification dosage,department dosage and the proportion of scored tablets. RESULTS CONCLUSIONS：There were 217 389 medical orders of tablets in the inpatients of our hospital in Jan.2016. There were 12 792 medical orders of splitting drugs,with utilization rate of 5.88%. The most used splitting tablet were cardiovascular drugs and drug for nervous system,accounting for 53.31% and 20.72% of total. The splitting tablets were mostly used in respiratory and critical care medicine department. Top 10 departments in the list of the number of splitting drug medical orders prescribed 8 993 splitting drug medical orders,accounted for 70.30% of total. Top 20 drugs in the list of the number of splitting drugs were involved in 8 971 medical orders,accounting for 70.13% of total;there were 14 kinds of scored drugs and 7 506 medical orders of splitting scored drugs,accounting for 83.67% of top 20 medical orders of splitting drugs. Among splitting drugs,49 types had scored-line,which were prescribed in 9 265 medical orders of splitting drug,accounting for 72.43% of all medical orders of splitting drug. Lacking of information in most package inserts about the tablet can or can not split,it is suggested to note this information in package inserts by pharmaceutical enterprises. For commonly used splitting drugs without scored-line,it is proposed to produce small-size drugs or add scored-line.