某部云南地区2021年新兵集训药品消耗情况分析

Drug Consumption during Recruit Training of 2021 in Yunnan Region

目的对2021年9月-2022年1月某部云南地区新兵集训期间药品消耗情况及用药规律进行分析,为做好新训官兵的医疗保障提供依据。方法收集2021年9月-2022年1月某部云南地区新训官兵的就诊信息及药品使用情况,以药品限定日剂量为单位,计算药品使用指标,并利用数据挖掘技术探索新兵集训期间的用药特点。结果在集训期间:(1)肌肉骨骼系统药物的用量大,使用人数多;五官、皮肤及外用药物、抗感染药物和维生素及矿物质缺乏症用药的用量大;清热剂(中成药)及调节水、电解质和酸碱平衡用药的用量小。(2)以药品日剂量数排名,用量最多的前3位药品是麝香壮骨膏、创可贴、珍珠明目滴眼液;以药物使用率排名,使用人数最多的前3位药品是麝香壮骨膏、连花清瘟胶囊、强力枇杷露;以药品日剂量费用排名,日费用最大的是破伤风人免疫球蛋白。(3)同时使用云南白药气雾剂和麝香壮骨膏的概率高;在使用阿莫西林胶囊和云南白药气雾剂时,同时使用麝香壮骨膏的概率高;在使用强力枇杷露时,同时使用连花清瘟胶囊的概率高;来自四川和北京的官兵集训期用药受籍贯影响较大。(4)呼吸系统疾病和训练伤的发病呈先上升后下降趋势,发病高峰为11月;消化系统疾病的发病在整个集训期呈平缓趋势,发病高峰为12月;皮肤病发病高峰为11月;五官科疾病的发病呈先上升后下降趋势,发病高峰为12月。其余各类疾病无明显的发病规律。结论(1)肌肉骨骼系统、呼吸系统和皮肤病药物是集训期间需重点保障的药品;(2)对于有自身基础疾病的集训人员应根据用药需要及训练时长,制定个人基础疾病药品保障清单,提交药材保障部门,做好集训药品保障;(3)影响新兵集训药品保障的因素包括:地域、节气、时长、医院药房药品采购品种、处方规范性、医生用药习惯等。

Objective To analyze the drug consumption and medications during training of recruits in Yunnan in order to provide data for medical support to recruits.Methods Information on visits to clinics and on drug consumption among recruits in Yunnan between September 2021 and January 2022 was collected.Indicators of drug use were calculated based on the limited daily dose of drugs,and data mining technology was used to find out about the way in which drugs were used during training.Results(1)During the training of recruits,a large amount of drugs for the musculoskeletal system was used by a large number of patients.The usage of drugs for external use,anti-infective drugs and those for vitamin and mineral deficiency was large while the usage of heat-clearing agents(Chinese patent medicine)and drugs for regulation of water,electrolytes and acid-base balance was small.(2)The top three drugs in terms of DDDs were Shexiangzhuanggu ointment,band-aid and Zhenzhumingmu eye drops.The top three drugs in terms of usage were Shexiangzhuanggu ointment,Lianhuaqingwen capsules and Qianglipipalu.(3)Yunnanbaiyao aerosol was likely to be used in combination with Shexiangzhuanggu ointment.There was a high chance that Lianhuaqingwen capsules were used together with Qianglipipalu.(4)The incidence of respir-atory diseases and training injuries increased before it decreased,with the peak in November.The incidence of digestive system diseases remained somewhat stable throughout the training,and the peak occurred in December.The peak of skin diseases was in November.The incidence of ENT diseases increased first and then decreased,and the peak was in December.Conclusion(1)Drugs for the musculoskeletal system,respiratory system and dermal diseases are commonly used during recruit training.(2)For trainees with their own underlying diseases,a list of drugs should be formulated according to their needs and training duration so that adequate supply of related drugs can be ensured(3)The factors affecting the drug supply of recruits during training include locations of training,solar terms,duration,varieties of drugs purchased,standardization of prescriptions,and doctors'preference for some drugs.