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目的:通过分析我院2014年儿科急诊退热药处方,了解退热药的使用情况,促进临床合理用药。方法:收集我院2014年儿科急诊退热药处方2 679张,采用回顾性研究方法进行统计分析。结果:79.96%(2 142/2 679)的退热药处方患儿年龄为0~3岁;退热药品处方中,72.71%(1 948/2 679)为非甾体抗炎药,27.29%(731/2 679)为中成药;不合理处方比例为1.83%(49/2 679),不合理情况主要包括联合用药不适宜、缺临床诊断、剂量不适宜。结论:我院儿科急诊退热药使用基本合理。药师应加大处方点评力度,确保退热药合理使用;临床医师应贯彻落实处方管理制度,保障患儿用药安全。
OBJECTIVE: To understand the use of antipyretics and promote the rational use of clinical medicine by analyzing the prescriptions of antipyretics for pediatric emergency in 2014 in our hospital. Methods: A total of 2 679 prescriptions for pediatric emergency antipyretics in our hospital were collected and analyzed retrospectively. Results: 79.96% (2 142/2 679) children aged 0-3 years with antipyretics prescriptions, 72.71% (1 948/2 679) were non-steroidal anti-inflammatory drugs, 27.29% (731/2 679) were proprietary Chinese medicines. The proportion of unreasonable prescriptions was 1.83% (49/2 679). Unreasonable cases mainly included inappropriate combination of drugs, lack of clinical diagnosis and inappropriate dosage. Conclusions: The use of pediatric emergency antipyretics in our hospital is basically reasonable. Pharmacists should increase prescription reviews, to ensure the rational use of antipyretics; clinicians should implement the prescription management system to protect children’s drug safety.