1082例早孕流产患者用药情况分析

Analysis of drug use in 1082 cases of early pregnancy abortion

目的探讨早孕流产患者用药情况。方法采用回顾性调查的方法,抽取某二级甲等妇幼保健院妇科2015年1月18日~2016年1月18日就诊患者处方,临床诊断为早孕流产(药物流产术及负压吸引流产术)1 082张,设计表格调查所用药物使用情况,并进行统计分析。结果早孕流产患者占妇科患者的4.29%,其使用药物包括抗菌药物、静脉麻醉药、中成药、雌激素等,分别占26.00%、8.08%、53.71%、8.16%。结论人工流产中药物流产无指征使用抗菌药物,负压吸引术流产可围手术期预防用药,但给药时机不对,中成药除新生化片外均为超说明书用药,属于不合理应用,有待于进一步探讨。

Objective To discuss the drug use in 1 082 cases of early pregnancy abortion.Methods Through retro- spective investigation, 1 082 prescriptions about early pregnancy abortion （ medicaments abortion and vacuum suction） were collected from one grade elass-A hospital for maternity and child care, prescriptions time was from January 18,2015 to Jan- uary 18,2016.The data were analyzed statistically through designing table and to investigate the use of drug.Results Early pregnancy abortion patients accounted for 4.29% of the gynaecology patients,the using drugs include antibacterial agents, intravenous anesthetics, Chinese patent medicine and estrogen, accounted for 26.00%, 8.08%, 53.71% and 8.16%, respec- tively.Conclusion Antibacterial agents were used arbitrarily in medicaments abortion,medicine can be used prophylacti- cally during perioperative periodin in vacuum aspiration,but it often occured at the wrong moment.Chinese patent medicine were super-specification medication except Xinshenghua Tablet, belonged to unreasonable application,so further research in this field was needed.