某院抗风湿医院制剂的临床使用情况分析

Analysis of Clinical Use of Anti-rheumatic Hospital Preparations in a Hospital

目的:分析医院抗风湿医院制剂的临床用药特点和合理使用情况,为医院抗风湿医院制剂的合理使用提供参考。方法:选取2021年4月—2022年4月河南省洛阳正骨医院(河南省骨科医院)门急诊的2445张抗风湿医院制剂处方作为研究资料,分析抗风湿医院制剂在各科室的使用分布和合理使用情况。结果:2445张抗风湿医院制剂处方涉及的具体品种主要为顽痹清丸(1195张,占48.88%)和顽痹康丸(694张,占28.38%),其次为顽痹乐丸(315张,占12.88%)和顽痹通丸(241张,占9.86%);而在科室分布方面,以风湿病科为最多(1442张,占58.98%),其次为颈肩腰腿痛科(262张,占10.72%)和骨关节病科(226张,占9.24%);处方点评结果显示,2445张抗风湿医院制剂处方中存在102张不合理处方(不合理率为4.17%),其中主要的不合理原因为临床辨证书写不全(56张,占54.90%)。结论:医院门急诊在使用抗风湿医院制剂时品种选择上以顽痹清丸和顽痹康丸为多,科室分布上以风湿病科为主,在合理用药方面整体较为合理,但仍有部分不合理情况,临床应继续加强相关方面的培训和管理,以提高临床的合理用药水平。

Objective:To analyze the characteristics and rational use of clinical medication of anti-rheumatic hospital preparations in the hospital,so as to provide reference for the rational use of anti-rheumatic hospital preparations in hospitals.Methods:2445 prescriptions for anti-rheumatic hospital preparations from outpatient and emergency clinics of Luoyang Orthopedic-Traumatological Hospital of Henan Province from April 2021 to April 2022 were selected as the research data to analyze the use distribution and rational use of anti-rheumatic hospital preparations in each department.Results:Among 2445 prescriptions for anti-rheumatic hospital preparations,the main varieties involved were Wanbiqing pills(1195,48.88%)and Wanbikang pills(694,28.38%),followed by Wanbile pills(315,12.88%)and Wanbitong pills(241,9.86%);in terms of department distribution,rheumatology department was the most popular(1442,58.98%),followed by neck,shoulder and lumbar-leg pain department(262,10.72%)and osteoarthrosis department(226,9.24%).According to the prescription review results,among 2445 prescriptions for anti-rheumatic hospital preparations,there were 102 irrational prescriptions(with an irrationality rate of 4.17%),and the main reason for irrationality was incomplete writing of clinical differentiation(56,54.90%).Conclusion:In selecting the varieties of anti-rheumatic hospital preparations,outpatient and emergency clinics of the hospital mostly take Wanbiqing pills and Wanbikang pills,and in terms of department distribution,rheumatology department is the main department.In terms of rational drug use,the overall situation is reasonable,but there are still some unreasonable circumstances.It is necessary to continuously strengthen the clinical training and management in related aspects so as to improve the clinical rational drug use level.