2015—2017年天津市津南区咸水沽医院解热镇痛抗炎药品的使用情况分析

Analysis on usage of antipyretic, analgesic and anti-inflammatory drugs in Jinnan Xianshuigu Hospital of Tianjin City from 2015 to 2017

目的调查分析2015—2017年天津市津南区咸水沽医院解热镇痛抗炎药品的应用情况及趋势,为科学管理和合理应用提供参考。方法采用数据回顾性方法,对天津市津南区咸水沽医院解热镇痛抗炎药品的用药金额、用药数量及构成比、限定日计量(DDD)值、用药频度(DDDs)及日均费用(DDC)等数据进行统计与分析。结果共有28种解热镇痛抗炎药,涵盖口服、注射、外用3种剂型。口服剂型解热镇痛抗炎药的销售金额逐年上升,注射剂型解热镇痛抗炎药的销售金额逐年下降。洛索洛芬钠分散片的销售金额及构成比稳居首位。2015年注射用氯诺昔康的销售金额居第2位,但2016、2017年,注射用精氨酸阿司匹林跃居第2位。氨咖黄敏口服溶液的DDDs稳居首位。牛痘疫苗接种家兔炎症皮肤提取物片的DDC排名第1位,2017年加巴喷丁胶囊的DDC排名跃居第1位。结论天津市津南区咸水沽医院解热镇痛抗炎药品的管理比较规范,药物使用大致合理。

Objective To investigate the status and trends of antipyretic, analgesic, and anti-inflammatory drugs in Jinnan Xianshuigu Hospital of Tianjin City from 2015 to 2017, in order to provide reference for the scientific management and rational application. Methods Data used retrospectively to determine the total amount of antipyretic and anti-inflammatory drugs used in our hospital, Consumption sum, total amount and composition ratio, definite daily dosage（DDD）, defined daily doses（DDDs）, and defined daily cost（DDC） were analyzed statistically by a retrospective analysis method. Results There were 28 antipyretic, analgesic, and anti-inflammatory drugs, covering three dosage forms： oral, injection, and topical. Consumption sum of antipyretic, analgesic, and anti-inflammatory drugs in oral dosage forms increased year by year, and the amount of antipyretic, analgesic, and anti-inflammatory drugs in injection dosage forms decreased year by year. The sales amount and composition ratio of Loxoprofen Sodium Dispersible Tablets ranked the first. Lornoxicam for injection was ranked the second in 2015, but Arginine Acetylsalicylate for injection ranked the second in 2016 and 2017. DDDs of Anka Huangmin Oral Solution remained the top place. DDC of Extract Tablets from Inflammatory Cutaneous Tissues of the Rabbit Inoculated with Vaccina Virus was ranked the first. In 2017, DDC ranking of Gabapentin Capsules ranked the first. Conclusion The management of antipyretic, analgesic and anti-inflammatory drugs in Jinnan Xianshuigu Hospital of Tianjin City is relatively standardized, and the use of drugs is generally reasonable.