本文選題：超說明書用藥 + 兒科門診　； 參考：《中國醫(yī)院用藥評價與分析》2016年01期

【摘要】：目的:了解荊州市婦幼保健院(以下簡稱"我院")兒科門診超說明書用藥現(xiàn)狀,為促進兒童安全合理用藥提供參考。方法:隨機抽取我院2014年門診兒科處方,根據(jù)藥品說明書判斷醫(yī)囑是否超說明書用藥,對超說明書用藥發(fā)生率、超說明書用藥類型、各年齡段兒童超說明書用藥發(fā)生率及藥品種類等進行統(tǒng)計分析。結果:在抽取的1 200張門診兒科處方中,涉及用藥醫(yī)囑3 258條,超說明書用藥發(fā)生率達43.83%。超說明書用藥類型列前3位的分別是超適用人群(53.81%)、超給藥次數(shù)(20.30%)、超給藥劑量(13.20%);超說明書用藥發(fā)生率列前3位的分別是嬰兒期(45.26%)、幼兒期(45.15%)、學齡前期(44.03%);超說明書用藥列前3位的藥品分別是微生物與礦物質藥(55.87%)、中成藥(50.29%)、抗感染藥(46.40%)。結論:超說明書用藥現(xiàn)象普遍存在,臨床醫(yī)師應嚴格掌握藥品的說明書,在權衡利弊并取得患兒家長同意后方可超說明使用藥品;同時,衛(wèi)生行政部門應制訂超說明書用藥相關管理制度,以保障兒童安全、用藥有效。
[Abstract]:Objective: to understand the status of drug use in pediatric outpatient department of Jingzhou Maternal and Child Health Hospital (hereinafter referred to as "our hospital"), and to provide a reference for children to use drugs safely and reasonably. Methods: the pediatric prescriptions of outpatient department of our hospital in 2014 were randomly selected to judge whether the prescriptions were overprescribed according to the drug instructions, the incidence rate and the types of drugs used over the instructions. The incidence of drug use and drug types in children of different age groups were analyzed statistically. Results: of the 1 200 pediatric prescriptions in outpatient department, 3 258 prescriptions were involved, and the incidence of drug overloading was 43.83%. The top three types of superprescriptions were superapplicable population (53.81%), overdose (20.30%), overdose (13.20%), infancy (45.26%), infancy (45.15%), pre-school age (44.03%), superinstruction (45.26%), pre-school age (44.03%), superinstruction (20.30%), overdose (13.20%), infancy (45.26%), infancy (45.15%), pre-school (44.03%). The top three drugs were microorganism and mineral medicine (55.87%), Chinese patent medicine (50.29%) and anti-infective drug (46.40%). Conclusion: the phenomenon of over-prescribing drugs is common. Clinicians should strictly grasp the instructions of drugs, weigh the advantages and disadvantages and obtain the consent of the parents of the children before they can explain the use of the drugs, and at the same time, The administrative department of public health should establish the management system of drug-surpassing instructions to ensure the safety of children and the effectiveness of drug use.
【作者單位】： 荊州市婦幼保健院藥劑科;
【分類號】：R95

【共引文獻】

相關期刊論文 前3條

1 張艷芝;楊悅;邢玉柱;;由302例藥品不良反應報告探討加強藥物風險管理的重要性[J];中國醫(yī)藥科學;2013年07期

2 楊春梅;;150種注射劑說明書調查與評估[J];北方藥學;2014年10期

3 王海倫;;我院血液腫瘤病房超說明書用藥調查分析[J];兒科藥學雜志;2016年02期

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相關期刊論文 前1條

1 朱慧娟;;兒童用藥劑型及說明書的調查分析[J];兒科藥學雜志;2010年05期

【相似文獻】

相關期刊論文 前1條

1 張越;王淑清;劉淑賢;;人性化管理在兒科門診中的應用[J];吉林醫(yī)學;2007年04期

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本文編號：2055205