论文部分内容阅读
目的分析门诊超说明书用药情况,为规范化管理超说明书用药提供参考,促进临床合理用药。方法以药品说明书为依据,从适应证、适应人群、给药剂量、给药频次、溶媒、给药途径和禁忌证等方面对宁波市妇女儿童医院分院2014年8月门诊处方的超说明书用药情况进行统计与分析,并根据临床指南、专家共识、循证医学或文献等以判断其合理性,提出管理对策。结果有1 866张处方出现超说明书用药,占总处方的18.69%。超说明书用药记录共有3 972条,占总用药记录的15.52%,其中“未提及儿童用药信息”是最常见的超说明书用药类型,占53.00%,其他依次是给药频次(17.55%)、给药剂量(10.70%)和超年龄用药(9.09%)等。结论本院超说明书用药基本合理,但为了保障患者用药安全,应加强超说明书用药的规范化管理。
Objective To analyze the outpatient super manual medication situation, to provide reference for standard management super manual medication, to promote clinical rational use of medicine. Methods Based on the drug specification, the author used the super instruction manual of outpatient prescriptions of Ningbo Women and Children Hospital Branch from August 2014 in terms of indications, population adaptability, dosage, frequency of administration, vehicle, route of administration and contraindications. Statistics and analysis, and based on clinical guidelines, expert consensus, evidence-based medicine or literature to determine its rationality, put forward management strategies. As a result, there were 1 866 prescriptions of super-description medication, accounting for 18.69% of the total prescription. A total of 3 972 prescriptions were recorded, accounting for 15.52% of the total medication records. Among them, “no mention of medication information for children” was the most common type of super-instruction medication, accounting for 53.00% of the total. Administration followed by administration frequency (17.55% ), Administration dose (10.70%) and ultra-age medication (9.09%) and so on. Conclusion In our hospital, it is reasonable to superfamily instructions, but in order to protect the safety of patients, we should strengthen the standardized management of super instructions.