摘要
目的对急诊静脉输液处方用药进行统计,分析其合理性,促进临床合理应用静脉输液用药,保障患者用药安全。方法采用回顾性调查方法,抽取吉林大学第一医院2017年1-6月每月第1天急诊处方共4 344张,筛选出静脉输液处方3 568张,对筛选出的静脉输液处方用药情况进行统计及分析,评价其用药合理性。结果急诊静脉输液处方数占急诊处方数的82.14%(3 568/4 344),急诊儿科静脉输液处方数最多,占50.94%(2 213/4 344)。急诊静脉输液药物中抗菌药物应用最多,其次为抗病毒药注射用单磷酸阿糖腺苷,主要不合理用药情况为依据症状诊断给药,占静脉输液处方数的35.37%(1 262/3 568)。结论我院急诊静脉输液用药依据症状诊断给药及应用抗菌药物情况较多,存在不合理情况,药师需加强对静脉输液用药的干预.保障患者合理、安全用药。
Objective To analyze the rational use of emergency intravenous infusion prescriptions. Methods A retrospective survey was conducted on 4 344 emergency prescriptions selected from the First Hospital of Jilin University on the 1st days from January to June in 2017, including 3 568 prescriptions of intravenous infusion. The rationality of medication was evaluated. Results Emergency intravenous infusion prescriptions accounted for 82.14% among the total 4 344 prescriptions. Emergency pediatric intravenous infusion rate was the highest, accounting for 50.94% （2 213/4 344）. Antibacterials were the most used drugs, followed by vidarabine monophosphate for injection （antivirotic drug）. Irrational drug use was mainly caused by prescriptions based on symptom diagnosis, accounting for 35. 37% （1 262/3 568 ）. Conclusion Emergency intravenous infusion prescribed according to symptom diagnosis and wild application of antibiotics are irrational drug use phenomena; pharmacists should strengthen management of intravenous infusion prescriptions to ensure rational and safe use of drugs.
出处
《中国医药》
2018年第1期138-142,共5页
China Medicine
关键词
合理用药
急诊
静脉输液
处方
Rational use of drugs
Emergency
Intravenous infusion
Prescription
