我院2012-2016年住院患者急救药品使用趋势分析

Analysis of the Trend of Emergency Drugs in the Inpatients of Our Hospital during 2012-2016

目的:为保证医院急救药品的供应提供参考。方法:通过医院信息系统收集我院2012-2016年住院患者急救药品的使用数据,包括急救患者比例、年龄、药品、用药科室和病种等,采用SPSS 16.0软件分析其趋势。结果:急救患者占出院人数的比例呈逐年上升趋势。<10、10~19岁患者数量呈逐年下降趋势;30~39、50~59、>60岁患者数量呈逐年上升趋势。急救患者使用药品中,肝素钠注射液、地塞米松磷酸钠注射液和氟马西尼注射液使用频次呈逐年下降趋势;注射用血凝酶、戊乙奎醚注射液、顺苯磺酸阿曲库铵注射液和丙泊酚注射液使用频次呈逐年上升趋势。用药科室中,儿科患者数呈逐年下降趋势;产科、急诊科、心血管内科、显微手外科、小儿外科患者数呈逐年上升趋势。急救患者病种中,呼吸系统疾病、传染病和寄生虫病患者数呈逐年下降趋势;循环系统,损伤、中毒和外因的某些其他后果,消化系统疾病;妊娠、分娩和产褥期疾病和起源于围生期的某些情况患者数呈逐年上升趋势。结论:随着临床急危重症患者的比例、年龄和病种的变化,急救药品的品种和使用率同时也在改变,医院应及时采取有效措施,保证急救药品的供应。

OBJECTIVE： To provide reference for the supply of emergency drugs. METHODS： The data of emergency drugs in the inpatients of our hospital were collected from hospital information system during 2012-2016, including the proportion and age of emergency patients, drug, clinical departments and disease types. The trend of emergency drugs was analyzed by using SPSS 16.0 software. RESULTS ： The proportion of emergency patients and discharged patients were increasing year by year. The number of patients in 〈 10 year-old and 10-19 year-old showed a declining trend year by year. The number of patients in 30-39 year-old, 50-59 year-old and 〉60 year-old showed an increasing trend year by year. Among emergency drugs, the use frequency of Heparin sodium injection, Dexamethasone sodium phosphate injection and Flumethasone injection showed a declining trend year by year; the use fre- quency of Hemagglutination for injection, Penehyclidine ether injection, Atracurium besylate injection and Propofol injection showed an increasing trend year by year. Among clinical department, the number of pediatric patients showed a declining trend year by year; the number of patients in obstetrics department, emergency department, cardiology department, micro hand surgery department and pediatric surgery department showed an increasing trend year by year. Among emergency disease types, the number of patients with re- spiratory system disease, infectious and parasitic diseases showed a declining trend year by year; the number of patients with circula- tion system disease, injury and poisoning, certain other consequences of external factors, digestive system diseases, pregnancy, child- birth and puerperium disease as well as some cases originated in the perinatal period showed an increasing trend year by year. CON- CLUSIONS： With the change of the proportion, age and disease type of emergency patients, the type and utilization rate of emergen- cy drugs have changed. It is necessary to adopt effective measures to guarantee the supply of emergency drugs.