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目的对某综合性医院伏立康唑注射剂的临床应用情况进行回顾性处方点评,以提高该药物治疗的有效性与安全性,促进合理用药。方法利用医院信息系统调取该院2012年1月至2013年8月住院患者使用伏立康唑注射剂的所有电子医嘱,运用Epidata软件对不合理用药进行汇总,结合《医院处方点评管理规范(试行)》和《处方管理办法》进行点评。结果研究纳入2 327例使用伏立康唑注射剂的住院患者医嘱,其中不合理用药医嘱共157例,占6.75%,不规范用药医嘱占不合理医嘱总数的15.29%,用药不适宜医嘱占82.15%,超常用药医嘱占2.54%。结论应进一步加强处方点评制度的实施,促进伏立康唑注射剂的安全、合理使用。
Objective To retrospectively review the clinical application of voriconazole injection in a general hospital so as to improve the effectiveness and safety of the drug treatment and promote rational drug use. Methods The hospital information system was used to retrieve all electronic medical orders from inpatients using voriconazole in our hospital from January 2012 to August 2013. Epidata software was used to summarize the irrational use of drugs. Combined with the “Management Rules of Hospital Prescription Evaluation (Trial)” and “Prescription management approach” to comment. Results The study included 2 327 inpatients with voriconazole injection, of which 157 cases were irrational, accounting for 6.75%, 15.29% were non-standard medical orders, 82.15% were inappropriate medication, and over-medication Medical orders accounted for 2.54%. Conclusion The implementation of the prescription review system should be further strengthened to promote the safe and rational use of voriconazole injection.