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目的了解本院解热镇痛抗炎药(NSAIDs)使用情况,分析其中存在的问题,为促进临床合理用药提供参考和依据。方法调查2014年1~6月本院门诊处方4188张,分析其中使用NSAIDs的处方571张,按药物分类、疾病系统、不合理用药等进行统计分析。结果本院NSAIDs使用频次前5位包括:对乙酰氨基酚片、复方氨林巴比妥注射液、布洛芬片、双氯芬酸钠缓释片和美洛昔康片。使用频次前3位的科室分别是内科、儿科和五官科。门诊不合理使用NSAIDs处方41张,占门诊使用该类药物处方的7.18%。其不合理的情况集中在重复用药、用法用量不合理以及联合用药不合理等几个方面。结论本院NSAIDs有不合理使用现象,应加强此类药物的管理。
Objective To understand the use of anti-inflammatory analgesic and anti-inflammatory drugs (NSAIDs) in our hospital and analyze the existing problems so as to provide reference and basis for promoting clinical rational drug use. Methods A total of 4188 prescribing prescriptions were collected from January to June 2014 in our hospital, and 571 prescriptions for NSAIDs were analyzed. Statistical analysis was conducted on the basis of drug classification, disease system and irrational drug use. Results The top 5 frequency of use of NSAIDs in our hospital included paracetamol, compound ammonia amrubicin, ibuprofen tablets, diclofenac sodium sustained-release tablets and meloxicam tablets. The frequency of the first three departments are internal medicine, pediatrics and ENT. Out-patient use of NSAIDs 41 prescriptions, accounting for outpatient use of such drugs prescription 7.18%. Its unreasonable situation is concentrated in repeated medication, usage and dosage unreasonable and unreasonable combination of several aspects. Conclusion There are unreasonable use of NSAIDs in our hospital. The management of such drugs should be strengthened.