天水市某医院城镇职工、居民特殊病种门诊药物使用情况分析

Analysis on the Usage of Outpatiout Drug for Urban Workers and Residents Special Diseases in a Hospital of Tianshui

目的分析天水市某医院城镇职工、居民特殊病种门诊药物使用情况,为该市特殊病种门诊管理提供参考。方法随机抽取该院2014—2016年特殊病种门诊处方6 570张,对口服药物销售金额排序前10位的品种、规格、数量、用药频度(DDDS)及临床诊断等方面进行分析。结果患者口服西药以心脑血管系统和内分泌系统为主,口服中成药以活血化瘀类、益气养阴类和补脾温肾类为主。3年来,连续占据西药DDDS排序前2位的是二甲双胍缓释片和阿斯匹林肠溶片,稳居中成药DDDS排名前2位的是脑心通胶囊和消栓通络胶囊;该院患者病种分布居前的包括高血压、糖尿病、脑梗死和冠心病等,以心脑血管、内分泌系统疾病为主,且好发于50~70岁人群。结论该院特殊病种门诊药物使用能够做到中西药并重,药物使用基本合理。医院管理方面应关注特殊病种门诊疾病谱的变化,以促进药物有效、经济和合理使用。

OBJECTIVE To analyze the drug administration of urban workers and residents from Outpatient of Special Diseases in trag-et so as to provide some reference for the outpatient management of special diseases in Tianshui.METHODS Totally 6 570 prescrip-tions from outpatient of special diseases were randomly collected from 2014 to 2016.The relevant information of the top10 oral drugsaccording to the sales amount,such as types,specifications,amount,frequency of drug use(DDDS) and clinical diagnosis,,were ana-lyzed.RESULTS The oral drugs were mainly used to treat cardiocerebral vascular and endocrine system diseases,and the Chinesepatent drugs primarily had the functions of activating blood to remove blood stasis,tonifying qi and nourishing yin as well as tonifyingspleen and warning kidney.In 3 years,the continuous top3 drugs according to DDDS included Metformin Extended-Release Tabletsand Aspirin,whereas the top2 Chinese patient drugs were Naoxintong Capsule and Xiaoshuantongluo Capsule;the commonly-encoun-tered diseases were cardiocerebral vascular and endocrine system diseases,including hypertension,diabetes mellitus,cerebral infarc-tion,coronary heart disease,etc,which frequently occurred in people at the age of 50~70.CONCLUSION Chinese and western medi-cine could be applied in Outpatient of Special Diseases in target hospital,and the use of drugs was basically reasonable.Hospitalmanagement should pay attention to the change of disease spectrum in outpatients with special diseases so as to promote the effective,economical and rational use of drugs.