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神经内科用药过程的不安全因素与干预 被引量:3

Unsafe Factors and Intervention in the Process of Medication in Neurology Department
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摘要 目的:分析神经内科用药过程的不安全因素,并提供相应的干预措施。方法:抽取2018年1月—2022年1月神经内科的1000张处方,分析用药不合理的原因,统计不同药物联合用药情况等。结果:神经内科的1000张处方中,单用一种药物的处方为649张(64.9%);使用两种药物的处方为304张(30.4%),使用三种药物的处方为47张(4.7%),没有三种以上药物联用的处方。神经内科常见疾病包含脑血管疾病、神经系统变性疾病以及中枢神经系统感染疾病等。药物的给药途径包括静脉给药及口服给药。神经内科用药过程的不安全因素中以适应证不适宜(22.7%)为主、其次为遴选药物不适宜(19.3%)。结论:神经内科用药过程中存在一定的不安全因素,以适应证不适宜为主,需要进行相应的干预措施,以保证用药的安全性。 Objective:To analyze the unsafe factors in the medication process of neurology department,and provide corresponding intervention measures.Methods:A total of 1000 prescriptions in the Department of Neurology from January 2018 to January 2022 were extracted to analyze the causes of irrational drug use and to count the combination of different drugs.Results:Of the 1000 prescriptions in the Department of Neurology,649 prescriptions(64.9%)were for one drug alone,304 prescriptions(30.4%)were for two drugs and 47 prescriptions(4.7%)were for three drugs,there was no prescription for more than three drugs.Common diseases in neurology include cerebrovascular diseases,degenerative diseases of nervous system and infectious diseases of central nervous system.The route of administration of drugs includes intravenous administration and oral administration.Among the unsafe factors in the medication process of neurology department,the indication is inappropriate(22.7%),followed by the selection of drugs is inappropriate(19.3%).Conclusion:There are some unsafe factors in the process of medication in neurology department,mainly unsuitable indications.Corresponding intervention measures are needed to ensure the safety of medication.
作者 岳培 汤玉 徐曼曼 刘华瑞 YUE Pei;TANG Yu;XU Manman;LIU Huarui(Department of Infection Management,Zhengzhou Ninth People’s Hospital,Zhengzhou 450000,Henan,China;Department of Cardiology,Zhengzhou Ninth People’s Hospital,Zhengzhou 450000,Henan,China)
出处 《中国药物滥用防治杂志》 CAS 2022年第9期1217-1220,共4页 Chinese Journal of Drug Abuse Prevention and Treatment
关键词 神经内科 联合用药 不合理用药 适应证 用法用量 Neurology department Combined medication Irrational drug use Indications Usage and dosage
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