克拉玛依市中心医院2014年哮喘住院患者的用药和费用分析

Drug usage and costs of inpatients with asthma in Karamay Central Hospital in 2014

目的调查2014年新疆克拉玛依市中心医院(简称克市中心医院)哮喘住院患者的费用和用药情况,为开展单病种循证药学工作提供依据和参考。方法提取克市中心医院信息管理系统2014年哮喘的治疗费用、临床用药等资料。采用Excel 2007软件对频数、构成比和累积构成比等指标进行统计分析。结果共纳入哮喘住院患者150例,平均年龄为56.25±18.83岁。最常用的三类药物为糖皮质激素、抗菌药、平喘药;其中吸入用布地奈德混悬液、莫西沙星针、多索茶碱针分别在三类药物中占比为32.84%、31.11%和45.31%。结论克拉玛依市中心医院2014年哮喘住院患者治疗药物以糖皮质激素、抗菌药和平喘药为主。糖皮质激素类药物应用频率过高,抗菌药使用频率存在不合理现象,仍需进一步规范。

Objective To investigate drug usage and costs of inpatients with asthma in Karamay Central Hospital in 2014 and to provide baseline for evidence-based pharmacy study of single disease in respiratory system. Methods The information of drug use and expenditure of asthma inpatients were collected from the hospital information system （HIS）. We analyzed the data including frequency, proportion and cumulative proportion by Excel 2007 software. Results A total of 150 asthma inpatients were included, the average age was 56.25±18.83 years old. Three kinds of the most commonly used drugs were corticosteroids, antibiotics and antiasthmatic drugs. Budesonide suspension for inhalation, moxifloxacin needle, doxofylline needle accounted for 32.84%, 31.11% and 45.31% in these three categories of drugs, respectively. Conclusion The mainly drugs for treatment of asthma inpatients in Karamay Central Hospital in 2014 are corticosteroids, antibiotics and antiasthmatic drugs. The frequency of systemic corticosteroids is too high, and the frequency of antimicrobial use is irrational, which needs further specification.