我院住院患者氧气雾化吸入给药的利用分析

Analysis of the Utilization of Oxygen Atomization Inhalation Given to Inpatients of Our Hospital

目的分析我院住院患者氧气雾化吸入给药的使用情况,为临床合理用药提供参考。方法使用美康合理用药工作站调取电子病历筛选给药途径为氧气雾化吸入的住院患者,回顾性分析我院住院患者氧气雾化吸入给药情况,评估我院住院患者氧气雾化吸入给药的相关指标。结果我院住院患者中氧气雾化吸入给药较多的科室是:呼吸内科、心血管内科、普通外科、骨科、胸心外科,分别为15.25%、11.86、10.89%、10.17%;≤10岁和≥51岁的患者使用比例最高,分别为22.03%和29.06%;氧气雾化吸入应用最多的药物是:地塞米松磷酸钠注射液、0.9%氯化钠注射液、吸入用布地奈德混悬液、盐酸氨溴索注射液、注射用α糜蛋白酶等;患者单次氧气雾化吸入给药平均用量约为20.81 m L;二联用药和三联用药比例分别为35.53%和41.65%,联用药物中最常见的是硫酸特布他林雾化液和吸入用布地奈德混悬液。结论我院住院患者氧气雾化吸入给药基本合理,但仍存在超给药途径用药、单药给药剂量不合理、不合理联用等现象。结合临床药师的用药指导,并与临床医师密切配合,可共同促进氧气雾化吸入给药的安全、有效及合理使用。

Objective To provide references for clinical rational use of medicines by analyzing the utilization of oxygen atomization inhalation for the inpatient in our hospital. Methods From the clinical pharmacy workstation, sift the inpatients who were given with oxygen atomization inhalation, then retrospectively analyze the utilization and evaluate the relevant information. Results The major departments using oxygen atomization inhalation were the respiratory medicine, cardiovascular medicine, general surgery, osteology and cardio-thoracic surgery, the proportions were 15.25%, 11.86, 10.89% and 10.17%. Patients under 10 years old（22.03%） and over 51 years old（29.06%） have higher proportions than the others. The medicines used in the largest amount were dexamethasone sodium phosphate injection,0.9% sodium chloride injection, budesonide suspension for inhalation, ambroxol hydrochloride injection, chymotrypsin for injection. The single average dose was 20.81 mL. The proportions of two medicines combination and three medicines combination were 35.53% and 41.65% respectively. The most commonly used medicine combination was terbutaline sulphate solution for nebulization and budesonide suspension for inhalation. Conclusion The oxygen atomization inhalation for patients is basically rational in our hospital, but unlabeled route of administration, the overdose use of medicine in a single time and the irrationally combined use of different medicines existed. Combine the medication guidance of clinical pharmacists and closely cooperate with clinicians to promote the safe, effective and rational use of the oxygen atomization inhalation.