酒泉市人民医院糖皮质激素临床应用情况统计及分析

Statistics and Analysis of Glucocorticoid Clinical Applications in People's Hospital of Jiuquan City

目的:分析酒泉市人民医院糖皮质激素用药的合理性,为临床合理使用糖皮质激素提供参考。方法:利用医院信息中心平台和病案系统,采用回顾分析方法,对我院2014年9月-2016年9月住院患者糖皮质激素临床使用情况进行综合分析。结果:我院住院患者使用糖皮质激素治疗主要以内分泌疾病及呼吸系统疾病为主,多数采用静脉给药方式。其中地塞米松和泼尼松龙因其适用范围广、不良反应明确,药品使用金额及数量排名位于我院前5位。不合理使用病例主要体现在联合用药不适宜或存在配伍禁忌、用法用量不适宜及无适应证用药等。结论:我院糖皮质激素的应用日益广泛,使用基本合理,但仍需进一步加强规范化管理,提高临床合理用药水平。

Objective： To analyze the reasonability of glucocorticoid drug use in the hospital where the authors work so as to provide references for clinical applications of glucocorticoids and standardize the hospital＇s drug use. Methods： The retrospective analysis method was adopted to analyze the clinical applications of glucocorticoids among patients hospitalized from September, 2014 to September, 2016 based on the hospital＇s information center and medical record system. Results： Glucocorticoids were generally used to treat patients with endocrine and respiratory diseases through intravenous administration in the hospital. Among them, dexamethasone and prednisolone, due to their wide application and clear untoward effects, ranked No. 5 in terms of total drug consumption amount and quantity. Some unreasonable treatment cases had problems of improper drug combination, incompatibility, improper drug usage and dosage, and drug use in the absence of corresponding indications. Conclusion： Applications of glucocorticoids have become increasingly extensive in our hospital. Therefore, more attention should be paid to safe and reasonable clinical applications of glucocorticoids. In most cases, the medication was reasonable, but medication management still needs to be further standardized so as to improve the clinical medication level.