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某肿瘤专科医院2013-2015年注射用辅助治疗药物医嘱点评分析 被引量:5

Analysis of Medical Orders of Auxiliary Therapeutic Drug for Injection in a Tumor Hospital during 2013-2015
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摘要 目的:为注射用辅助治疗药物临床合理使用提供参考。方法:随机抽取我院(肿瘤专科医院)2013-2015年每月使用量排名前10位的注射用辅助治疗药物涉及的住院病历共2 221份,对其进行点评,分析不合理医嘱存在的问题。结果:2 221份病历中,使用注射用辅助治疗药物不合理的病历共680份,医嘱合格率为69.38%。不合理用药类型排名前3位的分别为用法用量不适宜(32.94%)、联合用药不适宜(31.62%)、无适应证用药或适应证不适宜(27.50%)。用量排名前10位的注射用辅助治疗药物医嘱合格率最高的是注射用12种复合维生素,为85.00%;医嘱合格率最低的是核黄素磷酸钠注射液,为56.67%。结论:我院需加强注射用辅助治疗药物的规范管理,减少肿瘤治疗中的不合理用药行为。 OBJECTIVE: To provide reference for rational use of auxiliary therapeutic drug for injection in the clinic. METHODS: 2 221 inpatient medical records of top 10 auxiliary therapeutic drugs in the list of monthly amount were randomly selected from our hospital (a tumor hospital) during 2013-2015. Those medical records were commented and irrational ones were analyzed. RESULTS: Among 2 221 medical records, there were 680 irrational medical orders of auxiliary therapeutic drugs, with qualified rate of 69.38%. Top 3 types of irrational drug use were unsuitable usage and dosage (32.94%) , unsuitable drug combination (31.62%), drug use without indication or disagreeing with indication (27.50%). Among top 10 auxiliary therapeutic drugs for in- jection in the list of amount, the qualified rate of 12 compound vitamin for injection was the highest, being 85.00%; Riboflavin so- dium phosphate injection was the lowest, being 56.67%. CONCLUSIONS: It's important to strengthen standardized administration for auxiliary therapeutic drug for injection in our hospital so as to reduce the irrational use of drugs in the treatment of rumor.
出处 《中国药房》 CAS 北大核心 2016年第32期4498-4500,共3页 China Pharmacy
关键词 注射用辅助治疗药物 医嘱点评 合理用药 用药分析 Auxilicar therapeutic drug Comment on medical order Rational drug use Aualysis of drug use
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