糖尿病不适宜处方与多重用药分析

Analysis of Irrational Diabetes Prescriptions and Polypharmacy

目的对糖尿病不适宜处方进行统计分析,了解不合理用药现状,并探讨多重用药的可能原因。方法收集全国146家医院的1182例糖尿病相关不适宜处方,分析其不适宜类型的构成比和多重用药的影响因素。结果糖尿病相关不适宜处方的主要问题为用法用量不适宜(40.52%)和联合用药不适宜(28.60%),且高龄和多病共存可能是影响患者多重用药的主要因素。结论医生与药师应加强合作沟通,共同促进合理用药。多重用药的现象需要引起临床工作者的注意,应减少不必要的用药,充分优化治疗方案。

OBJECTIVE To analyze the irrational prescriptions diabetes-related and understand the current irrationalmedication situation,to explore the possible causes of polypharmacy.METHODS A total of 1182 diabetes-related prescriptions from 146 hospitals throughout the country.were collected.The constituent ratios of different types and the influencing factors of polypharmacy were analyzed.RESULTS The main types of irrational prescriptions were unreasonable usage and dosage(40.52%)and unreasonable combination(28.60%).Advanced age and multimorbidity may be the main factors causing polypharmacy.CONCLUSION Doctors and pharmacists should strengthen communication and jointly promote rational drug use.The phenomenon of polypharmacy needs to attract the attention from clinicians.And the unnecessary drug usage should be reduced,the treatment plan should be optimized.