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目的调查我院经针对性干预后糖皮质激素类药物的门诊使用情况,促进合理用药。方法随机抽取2013年11月~2014年10月门诊处方29200张,其中糖皮质激素处方5120张,对处方中的诊断、性别、年龄、药物名称、用药途径以及不合理用药情况进行统计分析。结果糖皮质激素类药物在我院门诊广泛使用,处方使用率占17.2%,主要用于呼吸系统疾病和皮肤科疾病,其中注射用地塞米松磷酸钠使用率最高,不合理处方下降至2.97%。结论针对性干预是提高合理使用糖皮质激素类药物水平的有效手段。“,”Objective To evaluate the outpatient utilization of glucocorticoids after targeted intervention so as to promote rational use of this medicine. Methods 29200 outpatient prescriptions were col ected randomly from Nov, 2013 to Oct, 2014 of which 5120 were glucocorticoid prescriptions. Statistical analysis of diagnosis, gender, age, in the prescription drug name, routes of administration and the ir ational drug use. Results Glucocorticoid drugs were used in 29.9% of the outpatients in our hospital, mainly for respiratory diseases and diseases in dermatological department. And Dexamethasone sodium phosphate for injection is the most used glucocorticoid drug.The unreasonable usage rate drop to 2.97%.Conclusion Targeted interventions are ef ective means to improve the rational use of glucocorticoids level.