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某院住院患者左卡尼汀注射液使用调查及合理性分析

Investigation and Rational Analysis of the Use of L-Carnitine Injection in Hospital Inpatients
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摘要 目的促进临床合理使用左卡尼汀注射液。方法回顾性调查某院2019年1月至6月使用左卡尼汀注射液的住院患者病历,对其用药科室、个人用量、用药疗程、用药诊断等方面进行统计与分析,评价用药合理性。结果共纳入361例患者,用药人数排前4的科室为神经内科(112例,31.02%)、消化内科(55例,15.24%)、内分泌科(42例,11.63%)、风湿内科(40例,11.08%);241例(66.76%)患者用药量不超过21 g,319例(88.37%)患者左卡尼汀注射液药占比在30%以内;307例(85.04%)患者用药疗程短于15 d;261例(72.30%)患者有适应证指征;所有患者均未发生药品不良反应。结论该院左卡尼汀注射液的使用基本合理,但仍存在不合理现象,应加强处方点评、用药干预等环节的监管,促进临床合理、规范用药。 Objective To promote the clinical rational application of L-carnitine injection.Methods A retrospective study was conducted on the medical records of inpatients using L-carnitine injection in the hospital from January to June 2019.The statistical analysis of the distribution,usage,medication,indications,etc.of the injection was conducted to evaluate the rationality of the drug.Results A total of 361 patients were enrolled.The top four departments with the highest number of medications include Neurology(112 cases,31.02%),Gastroenterology(55 cases,15.24%),Endocrinology(42 cases,11.63%),and Rheumatology(40 cases,11.08%);66.76%of patients took no more than 21 g of medication,and 319 patients(88.37%)had levocarnitine injection within 30%;307 patients(85.04%)had medications shorter than 15 d;261 patients(72.30%)had indications for medication;none of the patients had adverse drug reactions.Conclusion The use of L-carnitine injection in the hospital is basically rational,but there are still unreasonable cases.The supervision of reviews and interventions should be strengthened to promote clinical rationality and standardization of drug use.
作者 顾玲 霍书琴 石爱平 GU Ling;HUO Shuqin;SHI Aiping(Department of Pharmacy,Taixing People’s Hospital,Taizhou,Jiangsu,China 225400)
出处 《中国药业》 CAS 2020年第14期33-35,共3页 China Pharmaceuticals
关键词 左卡尼汀注射液 住院患者 合理用药 药学服务 L-carnitine injection inpatient rational drug use pharmaceutical service
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