某院妇科住院医嘱超药品说明书用药现状分析
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摘要
目的规范妇科临床合理用药。方法随机抽取某院2017年每月妇科出院病历25份,共300份,以相应药品说明书为依据,判断医嘱合理性。结果抽查300份病历,共6 725条医嘱,超说明书用药涉及病历234份(78. 00%),不合理医嘱数431条(6. 41%);主要包括4种用药类型,即超适应证用药医嘱245条(56. 84%),超用量用药医嘱125条(29. 00%),超用药途径用药医嘱58条(13. 46%);超溶剂用药医嘱3条(0. 70%)。结论该院妇科超药品说明书用药情况普遍,建议临床用药应尽量遵循药品说明书,以保障患者用药安全。
Objective To standardize the clinical medication in the Department of Gynaecology. Methods Totally 25 discharged medical records per month( totally 300 cases) from the Department of Gynecology in our hospital in 2017 were randomly selected. The rationality of medical orders was judged on the basis of corresponding drug instructions. Results Totally 300 medical records were selected,including 6 725 medical orders,of which 234( 78. 00%) medical records were involved in off-label drug use,431( 6. 41%) unreasonable medical orders. The main categories of off-label drug use were off-label indication( 245 medical orders,56. 84%),off-label dosage( 125 medical orders,29. 00%),off-label drug administration route( 58 medical orders,13. 46%),off-label drug solvent( 3 medical orders,0. 70%). Conclusion The off-label drug use is common in the Department of Gynaecology in our hospital. It is suggested that clinical medication should follow the drug instructions as far as possible in order to ensure the medication safety for patients.
Objective To standardize the clinical medication in the Department of Gynaecology. Methods Totally 25 discharged medical records per month( totally 300 cases) from the Department of Gynecology in our hospital in 2017 were randomly selected. The rationality of medical orders was judged on the basis of corresponding drug instructions. Results Totally 300 medical records were selected,including 6 725 medical orders,of which 234( 78. 00%) medical records were involved in off-label drug use,431( 6. 41%) unreasonable medical orders. The main categories of off-label drug use were off-label indication( 245 medical orders,56. 84%),off-label dosage( 125 medical orders,29. 00%),off-label drug administration route( 58 medical orders,13. 46%),off-label drug solvent( 3 medical orders,0. 70%). Conclusion The off-label drug use is common in the Department of Gynaecology in our hospital. It is suggested that clinical medication should follow the drug instructions as far as possible in order to ensure the medication safety for patients.
引文
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[5]高瞻,陈波.妇科常用调经中成药的临床应用与管理措施[J].实用妇科内分泌杂志:电子版,2016,3(17):171-172.
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[8]梁晓燕,史妙丽,萧绮丽.米非司酮配伍米索前列醇四种给药方式终止8-14周妊娠的临床研究[J].黑龙江医药,2016,29(6):1044-1047.
[9]中华医学会妇产科学分会妇科内分泌学组.异常子宫出血诊断与治疗指南[J].中华妇产科杂志,2014,49(11):801-806.
[10]刘永忠,赵倩,卞少倩.超药品说明书用药的问题与对策分析[J].江西中医药,2017,48(11):17-19.
[2]郑淑娇,王启跃.超说明书用药问题分析及探讨[J].临床合理用药杂志,2011,4(22):79.
[3]贾萍,何梦婕,王华飞,等.我院门诊妇产科处方超说明书用药的现状及对策[J].中国药业,2015,24(15):66-68.
[4]王先利,金经,王萌萌,等.妇产科医院门诊超药品说明书用药情况调查与分析[J].中国药房,2017,28(11):1466-1470.
[5]高瞻,陈波.妇科常用调经中成药的临床应用与管理措施[J].实用妇科内分泌杂志:电子版,2016,3(17):171-172.
[6]卿轶,周桃花,熊韬.四川省妇幼保健院门诊中成药应用合理性分析[J].中国医院用药评价与分析,2014,14(1):22-24.
[7]周文娟.米索前列醇在妇产科中的临床应用[J].实用妇科内分泌杂志:电子版,2016,3(4):135-136.
[8]梁晓燕,史妙丽,萧绮丽.米非司酮配伍米索前列醇四种给药方式终止8-14周妊娠的临床研究[J].黑龙江医药,2016,29(6):1044-1047.
[9]中华医学会妇产科学分会妇科内分泌学组.异常子宫出血诊断与治疗指南[J].中华妇产科杂志,2014,49(11):801-806.
[10]刘永忠,赵倩,卞少倩.超药品说明书用药的问题与对策分析[J].江西中医药,2017,48(11):17-19.