某儿童医院3岁以下儿童使用热毒宁注射液的处方分析
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摘要
目的分析儿童使用热毒宁注射液的处方信息,提高热毒宁注射液的合理应用水平。方法收集我院2017年1-10月3岁以下患儿应用热毒宁注射液的处方信息,将患儿年龄、性别、诊断、用药剂量、用药频次、疗程、联合用药、是否冲管、不良反应等进行分类统计和分析。结果 3岁以下使用热毒宁注射液的男性患儿略多于女性患儿;患儿诊断在前3位的分别是急性呼吸道感染(占63.89%)、肺炎(占13.11%)、支气管炎(占10.60%)。所有患儿每次注射剂量都未超过10 ml,不同年龄使用剂量略有差别。86.91%的患儿疗程不超过5 d,1次/d。大多数同抗菌(抗病毒)药物联用。结论我院热毒宁注射液的使用基本规范,但也存在部分不合理用药情况。只有进一步完善3岁以下患儿用药剂量,规范临床使用,才能减少不良反应的发生,保障患儿用药安全,促进合理用药。
Objective To analyze the prescription information of Reduning injection used for children,and improve the rational use of it.Methods The relevant information about the use of Reduning injection for children under 3 years old was collected from January to October 2017 in our hospital and was statistically analyzed based on age,gender,diagnosis,dosage,frequencies,course of treatment,drug combinations,tube washing,and adverse reactions,etc.Results More male than female children were treated with Reduning injection.The top three diagnosis were acute respiratory tract infection(63.89%),pneumonia(13.11%) and bronchitis(10.60%).None of the children received more than 10 ml every time,and the dose was slightly different at different ages.In the majority of patients(86.91%),the treatment course was no more than 5 days.Most of the Reduning injections were used in combination with antibiotics(antiviral drugs).Conclusion The use of Reduning injection in our hospital is rational and standard in general,yet there are still some irrational drug use problems to be improved and perfected.The dosage for children under 3 years old should be further normalized so as to decrease the occurrence of serious adverse drug reactions,ensure children′s medication safety and promote rational drug use.
Objective To analyze the prescription information of Reduning injection used for children,and improve the rational use of it.Methods The relevant information about the use of Reduning injection for children under 3 years old was collected from January to October 2017 in our hospital and was statistically analyzed based on age,gender,diagnosis,dosage,frequencies,course of treatment,drug combinations,tube washing,and adverse reactions,etc.Results More male than female children were treated with Reduning injection.The top three diagnosis were acute respiratory tract infection(63.89%),pneumonia(13.11%) and bronchitis(10.60%).None of the children received more than 10 ml every time,and the dose was slightly different at different ages.In the majority of patients(86.91%),the treatment course was no more than 5 days.Most of the Reduning injections were used in combination with antibiotics(antiviral drugs).Conclusion The use of Reduning injection in our hospital is rational and standard in general,yet there are still some irrational drug use problems to be improved and perfected.The dosage for children under 3 years old should be further normalized so as to decrease the occurrence of serious adverse drug reactions,ensure children′s medication safety and promote rational drug use.
引文
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[8] 王丽艳.热毒宁联合葡萄糖酸锌治疗小儿腹泻的疗效及对细胞免疫学的影响[J].世界中医药,2017,12(11):2679-2682.
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[10] 王绚,张永,王珊珊,等.南京医科大学附属南京儿童医院104例热毒宁注射液致不良反应报告分析[J].药物评价研究,2016,39(6):1066-1069.
[11] 施长城.儿科使用热毒宁注射液致26例不良反应及分析[J].药学临床与研究,2015,23(5):501-502.
[12] 孙卫峰.热毒宁注射液不良反应情况的临床分析[J].中国继续医学教育,2016,8(13):193-194.
[13] 夏卿,黄富宏,林郁,等.某院儿科门急诊中药注射剂使用分析[J].临床合理用药,2016,9(2):71-72.
[14] 李云送,陈瑶.儿童使用热毒宁注射液5011张处方专项点评[J].光明中医,2015,30(6):1345-1347.
[2] 孙永旭,高翠华,唐启令,等.我院热毒宁注射液临床应用分析[J].中国药房,2015,26(20):2472-2474.
[3] 仲浩,袁红宇.热毒宁注射液治疗儿童呼吸道感染疗效Meta分析[J].亚太传统医药,2013,9(4):141-145.
[4] 雷辉.热毒宁注射液在儿科中的临床应用[J].医学综述,2013,19(6):1081-1083.
[5] 范磊,陈海燕.我院门诊手足口病患儿治疗药物使用分析[J].中国药房,2016,27(11):1469-1470.
[6] 卫生部.手足口病指南:2010版[S].2010-4-20.
[7] 陈俊,季鹏,赵劭懂,等.传染性单核细胞增多症患儿联合应用热毒宁和阿昔洛韦的疗效[J].实用医学杂志,2017,33(18):3103-3107.
[8] 王丽艳.热毒宁联合葡萄糖酸锌治疗小儿腹泻的疗效及对细胞免疫学的影响[J].世界中医药,2017,12(11):2679-2682.
[9] 邵艳.我院热毒宁注射液致不良反应65例分析[J].中国药房,2015,26(8):1096-1098.
[10] 王绚,张永,王珊珊,等.南京医科大学附属南京儿童医院104例热毒宁注射液致不良反应报告分析[J].药物评价研究,2016,39(6):1066-1069.
[11] 施长城.儿科使用热毒宁注射液致26例不良反应及分析[J].药学临床与研究,2015,23(5):501-502.
[12] 孙卫峰.热毒宁注射液不良反应情况的临床分析[J].中国继续医学教育,2016,8(13):193-194.
[13] 夏卿,黄富宏,林郁,等.某院儿科门急诊中药注射剂使用分析[J].临床合理用药,2016,9(2):71-72.
[14] 李云送,陈瑶.儿童使用热毒宁注射液5011张处方专项点评[J].光明中医,2015,30(6):1345-1347.