2018年1～4月福州总医院儿科门诊雾化药的使用情况分析

Analysis on the application of atomized drugs used in Pediatric Clinic of Fuzhou General Hospital from January to April in 2018

目的调查分析福州总医院儿科门诊雾化药的应用情况,为其临床合理应用提供参考。方法提取2018年1～4月儿科门诊雾化药物的应用数量;并调阅2018年1～4月儿科门诊应用雾化药物的处方总共1 267张,对患儿年龄,雾化药的联合情况、医师诊断及其合理性等进行统计分析。结果儿科门诊常用雾化药物有糖皮质激素、短效β2受体激动剂、黏液溶解剂、M胆碱受体阻断剂和抗病毒药物,其中糖皮质激素、短效β2受体激动剂应用数量远大于其他雾化药;1267张处方中雾化药种类单独应用占28.49%,联合应用占71.51%;应用于多种呼吸道感染、支气管炎、肺炎、哮喘、扁桃体炎、咳嗽等多达30类临床诊断。不合理处方占全部处方的52.96%,主要为不明确处方,占38.67%。结论福州总医院儿科门诊雾化药的应用存在一定的不合理情况,医院和儿科医生应该给予足够的重视,以确保临床用药的合理性。

Objective To investigate and analyze the application of atomized drugs in Pediatric Clinic of Fuzhou General Hospital in 2018, so as to provide references for their rational use in clinic. Methods The applied amount of atomized drugs used in Pediatric Clinic from January to April in 2018 was extracted, and 1 267 outpatient prescriptions were selected from Pediatric Clinic from January to April in 2018. Age, combination of atomized drugs, clinical diagnosis, and rationality were analyzed statistically. Results The commonly used atomized drugs in Pediatric Clinic were glucocorticoids, short-acting β2 receptor agonists, mucous dissolving agent, M cholinergic blockers, and antiviral drugs, and the using number of glucocorticoids and short-acting β2 receptor agonists were much greater than other atomized drugs. Among the 1 267 prescriptions reviewed, 28.49% was applied alone and 71.51% was applied with joint. These atomized drugs which were applied to treat 30 kinds of diseases including various types of respiratory infections, bronchitis, pneumonia, asthma, tonsillitis, and cough, etc. Unreasonable prescription accounted for 52.96%, and most of them were mainly was indefinite prescription(38.67%). Conclusion There is some unreasonable drug use of atomized drugs in Pediatric Clinic of Fuzhou General Hospital. Hospitals and pediatricians should give enough attention and make improvements to ensure the rationality of clinical medication.