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目的分析医院住院患者质子泵抑制剂用药情况及趋势,为临床合理用药提供借鉴和参考。方法回顾性分析2013年1月-2015年12月医院应用PPIs的住院患者的病例资料,利用DDDs对HIS系统住院药房管理模块收录的PPIs使用情况进行统计。结果应用PPIs的病历多集中于胃肠、肿瘤、肝胆胰腺等科室,除胃肠科外的其他科室使用PPIs多为预防疾病或手术所致应激性溃疡,占病例总数的57.16%。主要PPIs的DUI均未超过1.0,口服PPIs的DUI普遍高于注射用PPIs,其中口服用药奥美拉唑、兰索拉唑和泮托拉唑的用药频度已趋近或达到临界值,用药合理性相对较差但未过量。结论 2013-2015年医院病区PPIs临床应用基本合理,但仍有不足,建议制定PPIs合理应用指南并以此为据严格遵守用药指征,以进一步强化管理,避免用药过度,确保用药安全。
Objective To analyze the usage and trend of proton pump inhibitors in hospitalized patients and provide references for clinical rational drug use. Methods A retrospective analysis of hospitalized patients with PPIs from January 2013 to December 2015 was conducted. DDDs were used to analyze the use of PPIs in hospital management module of HIS system. Results The clinical records of PPIs were mostly concentrated in the departments of gastrointestinal, tumor, hepatobiliary and pancreas. PPIs were used in other departments except gastroenterology to prevent stress ulcer caused by disease or surgery, accounting for 57.16% of the total number of cases. The DUI of the major PPIs did not exceed 1.0, and the DUI of oral PPIs was generally higher than that of PPIs for injection. The frequency of oral administration of omeprazole, lansoprazole and pantoprazole had approached or reached the critical value. Reasonable is relatively poor but not excessive. Conclusion The clinical application of PPIs in hospital wards from 2013 to 2015 is basically reasonable. However, there are still some shortcomings. It is suggested that guidelines for the rational application of PPIs should be formulated and based on strict compliance with the indications of medication so as to further strengthen management, avoid overuse and ensure drug safety.