某院妇产科门诊超说明书用药分析
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摘要
目的分析某医院妇产科门诊超说明书用药情况,为临床用药提供参考。方法随机抽查该院2018年7～12月妇产科门诊的处方18 000张,遴选出不符合药品说明书规定用药的处方,对相关用药情况进行统计和分析。结果抽查的处方中,有1 889张处方(占10.49%)存在超说明书用药,涉及药品18种。其中,超用法用量的占56.72%,超人群用药的占26.52%,超适应证用药的占16.76%。结论该院妇产科门诊处方存在超说明书用药现象,还需加强监控和干预。
OBJECTIVE To analyze the situation of off-label drug use in gynecology and obstetrics outpatient department in a hospital,and to provide reference for the clinic. METHODS 18 000 prescriptions of gynecology and obstetrics outpatient department from July to December 2018 were randomly sampled and those in disaccordance with the instructions were selected and analyzed.RESULTS A total of 1 889 prescriptions were off-label used,in which 56. 72% of prescriptions were off-usage,26. 52% were for improper patients,and 16. 76% were off-indications. CONCLUSION The prescription of gynaecology and obstetrics outpatient department in the hospital has the phenomenon of off-label drug use,it needs to be further monitored and intervened.
OBJECTIVE To analyze the situation of off-label drug use in gynecology and obstetrics outpatient department in a hospital,and to provide reference for the clinic. METHODS 18 000 prescriptions of gynecology and obstetrics outpatient department from July to December 2018 were randomly sampled and those in disaccordance with the instructions were selected and analyzed.RESULTS A total of 1 889 prescriptions were off-label used,in which 56. 72% of prescriptions were off-usage,26. 52% were for improper patients,and 16. 76% were off-indications. CONCLUSION The prescription of gynaecology and obstetrics outpatient department in the hospital has the phenomenon of off-label drug use,it needs to be further monitored and intervened.
引文
[1]何晓静,邵颖,于丹,等.某院门诊妊娠患者超说明书用药情况分析[J].中国医院药学杂志,2018,38(4):436-439.
[2]任智文,陈鸣.1292张门诊超说明书用药处方分析[J].中国医院用药评价与分析,2015,15(8):1099-1102.
[3]广东省药学会.医疗机构超说明书用药管理专家共识[J].今日药学,2014,24(12):841-843.
[4]甘可兰,王利平,刘怡.某妇幼保健院门诊超说明书用药情况分析[J].实用医药杂志,2016,33(5):434-438.
[5]杨丽雄,蔡丽秋.急诊超说明书用药的处方分析及对策研究[J].海峡药学,2017(12):260-262.
[6]林琳.门诊药房超说明书处方315张用药情况分析[J].中国药房,2014,25(10):878-881.
[7]胡明光.中山市坦洲医院15 460张超说明书处方的用药分析[J].中国医院用药评价与分析,2015,15(2):228-230.
[8]中华医学会呼吸病学分会《雾化吸入疗法在呼吸疾病中的应用专家共识》制定专家组.雾化吸入疗法在呼吸疾病中的应用专家共识[J].中华医学杂志,2016,96(34):2696-2708.
[9]岳钊平,赵小玲,张娟,等.低分子肝素钠治疗复发性流产的临床疗效观察[J].华南国防医学杂志,2018,32(6):376-378.
[10]李泰康.低分子肝素钠在不明原因的复发性自然流产中的应用效果分析[J].海峡药学,2017,29(1):147-148.
[11]李楠,杜伯涛,李洋.小剂量阿司匹林在不孕症及辅助生殖技术中的应用[J].中国妇幼保健,2019,34(4):959-962.
[12]蓝光仕.硫酸特布他林片用于先兆流产的合理性分析[J].中国保健营养,2016,26(27):288-289.
[13]朱珺.炔雌醇环丙孕酮片与二甲双胍缓释片联合克罗米芬治疗多囊卵巢综合征不孕患者的效果评价[J].中国实用医药,2018,32(13):142-143.
[14]李作美,康乐,邓琳.该院肾内科辅助用药超说明书用药分析[J].临床合理用药杂志,2018,11(4):110-112.
[2]任智文,陈鸣.1292张门诊超说明书用药处方分析[J].中国医院用药评价与分析,2015,15(8):1099-1102.
[3]广东省药学会.医疗机构超说明书用药管理专家共识[J].今日药学,2014,24(12):841-843.
[4]甘可兰,王利平,刘怡.某妇幼保健院门诊超说明书用药情况分析[J].实用医药杂志,2016,33(5):434-438.
[5]杨丽雄,蔡丽秋.急诊超说明书用药的处方分析及对策研究[J].海峡药学,2017(12):260-262.
[6]林琳.门诊药房超说明书处方315张用药情况分析[J].中国药房,2014,25(10):878-881.
[7]胡明光.中山市坦洲医院15 460张超说明书处方的用药分析[J].中国医院用药评价与分析,2015,15(2):228-230.
[8]中华医学会呼吸病学分会《雾化吸入疗法在呼吸疾病中的应用专家共识》制定专家组.雾化吸入疗法在呼吸疾病中的应用专家共识[J].中华医学杂志,2016,96(34):2696-2708.
[9]岳钊平,赵小玲,张娟,等.低分子肝素钠治疗复发性流产的临床疗效观察[J].华南国防医学杂志,2018,32(6):376-378.
[10]李泰康.低分子肝素钠在不明原因的复发性自然流产中的应用效果分析[J].海峡药学,2017,29(1):147-148.
[11]李楠,杜伯涛,李洋.小剂量阿司匹林在不孕症及辅助生殖技术中的应用[J].中国妇幼保健,2019,34(4):959-962.
[12]蓝光仕.硫酸特布他林片用于先兆流产的合理性分析[J].中国保健营养,2016,26(27):288-289.
[13]朱珺.炔雌醇环丙孕酮片与二甲双胍缓释片联合克罗米芬治疗多囊卵巢综合征不孕患者的效果评价[J].中国实用医药,2018,32(13):142-143.
[14]李作美,康乐,邓琳.该院肾内科辅助用药超说明书用药分析[J].临床合理用药杂志,2018,11(4):110-112.