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目的:通过调查我院门诊处方中非甾体抗炎药的使用情况,并对调查结果进行分析和讨论,促进我院非甾体抗炎药使用的合理化和规范化。方法:随机抽取2008年01月至2008年12月的21223张门诊处方中非甾体抗炎药的使用情况进行统计,按使用频率进行排序,取前5位药物,分析其在年龄、使用剂量的合理性和该药物所用的症状与药物说明书的适应证的相符性方面的临床分布特点。结果:服用非甾体抗炎药患者1564例,占门诊处方总数21223例的7.37%。使用频率前5位的非甾体抗炎药分别为阿司匹林肠溶片、二氟尼柳片、美洛昔康片、复方氯唑沙宗片、双氯芬酸缓释片,统计药物的DUI值大多符合规定,其中使用频率前5位的药物为100%合理使用(DUI值等于或小于1)。使用频率前5位的非甾体抗炎药总相符率为75.7%。病种以损伤史最多,其次是关节炎、腰背痛,分别为:167例(10.78%)、160例(10.23%)、154例(9.85%)。结论:我院非甾体抗炎药的使用与说明书适应证的相符率较高,该类药物的使用基本合理。
Objective: To investigate the use of non-steroidal anti-inflammatory drugs in outpatient prescriptions in our hospital and to analyze and discuss the findings so as to promote the rationalization and standardization of the use of NSAIDs in our hospital. Methods: The statistics of 21223 outpatient prescriptions of non-steroidal anti-inflammatory drugs from January 2008 to December 2008 were statistically collected and sorted according to the frequency of use. The top 5 drugs were taken and their differences in age, dosage The rationality of the drug, and the clinical profile of the compliance of the drug with the indication of the drug’s instructions. Results: 1564 patients took NSAIDs, accounting for 7.37% of the total number of outpatients with 21223 cases. The top five non-steroidal anti-inflammatory drugs were aspirin enteric-coated tablets, diflunisal tablets, meloxicam tablets, compound chlorzoxazone tablets, diclofenac sustained-release tablets, most of the statistical drug DUI values in line with Provides that the top 5 frequency of use drugs for 100% reasonable use (DUI value is equal to or less than 1). The top five non-steroidal anti-inflammatory drugs in use frequency had a total compliance rate of 75.7%. The history of injury was the largest, followed by arthritis and back pain, 167 cases (10.78%), 160 cases (10.23%) and 154 cases (9.85%), respectively. Conclusion: The use of non-steroidal anti-inflammatory drugs in our hospital is consistent with the indication of the instructions. The use of such drugs is basically reasonable.