设为首页 电子邮箱 联系我们

本刊最新招聘信息请见“通知公告”!  本刊投稿系统试运行中,欢迎投稿!如投稿有问题,可直接将稿件发送至zgyy8888@163.com

 

主管单位:中华人民共和国   

国家卫生健康委员会

主办单位:中国医师协会
总编辑:
杨秋

编辑部主任:吴翔宇

邮发代号:80-528
定价:28.00元
全年:336.00元
Email:zgyy8888@163.com
电话(传真):010-64428528;
010-64456116(总编室)

                  

过刊目录

2018 年第 11 期 第 13 卷

采用循证药学干预后住院支气管肺炎患儿的用药合理性分析

Rationality of drug use in children with bronchial pneumonia after evidence-based intervention

作者:刘建红喻佳洁谢勇李幼平张卫东徐珽吴民卢静李潇

英文作者:

单位:834000新疆维吾尔自治区克拉玛依市中心医院药学部(刘建红、张卫东、吴民、李潇),儿科(谢勇);610041成都,四川大学华西医院中国循证医学中心(喻佳洁、李幼平),药剂科(徐珽、卢静)

英文单位:

关键词:支气管肺炎;合理用药;循证药学干预

英文关键词:

  • 摘要:
  • 【摘要】目的    调查循证药学干预后住院支气管肺炎患儿的用药合理性。方法    提取克拉玛依市中心医院2016年1月1日至12月31日第一诊断是支气管肺炎的出院儿童的病历资料中的住院费用和用药信息等数据。基于既往2014年的统计资料,分析2016年采用循证药学干预后患儿的住院天数和用药情况等,比较循证药学干预前后的临床用药合理性。结果    2016年(904例)的人均住院天数较2014年(890例)明显缩短[(6.1±2.1)d比(7.1±2.6)d](P<0.001)。2016年的人均用药品种数较2014年减少[(7.1±2.2)种比(8.3±3.5)种]。2016年联合使用抗菌药物者占比较2014年下降了12.27%。2016年使用硫酸沙丁胺醇片和氨茶碱片者仅占1.34%(11/820),下降了83.97%。2016年使用的糖皮质激素中注射用甲泼尼龙琥珀酸钠仅占8.91%(80/898),下降了76.74%。结论    通过采取循证药学干预,调整临床路径,支气管肺炎患儿的住院天数、用药品种数、抗菌药物联合用药和注射用糖皮质激素的不合理用药情况得到很大改善。

  • 【Abstract】Objective    To investigate the rationality of drug use in children with bronchial pneumonia after evidence-based intervention. Methods    Medical records of children with the first diagnosis of bronchial pneumonia who discharged between 1st, January and 31st, December in 2016 in Karamay Central Hospital were extracted from the electronic medical record database. Evidence-based medication intervention was performed during 2016 based on the statistical data in 2014. Hospitalization time, expenses and medication information were analyzed. The improvement of medication reasonableness was analyzed between 2014 and 2016. Results    After the intervention, per capita hospitalization time in 2016(n=904) was significantly shorter than that in 2014(n=890)[(6.1±2.1)d vs (7.1±2.6)d](P<0.001); per capita drug species in 2016 were less than those in 2014[(7.1±2.2) vs (8.3±3.5)]. In 2016, the combined use rate of antimicrobial agents fell by 12.27% compared to that in 2014. The use ratio of salbutamol sulfate tablets and aminophylline tablets was 1.34%(11/820) in 2016, which fell by 83.97% compared to that in 2014. The use ratio of methylprednisolone sodium succinate for injection was 8.91%(80/898) in 2016, which fell by 76.74% compared to that in 2014. Conclusion    sEvidence-based intervention helps adjust clinical pathway and promote rational drug use in children with bronchial pneumonia. After evidence-based practice, hospitalization days and drug species decrease; irrational drug uses such as antibacterial combination and glucocorticoid for injection are improved.

copyright 《中国医药》杂志编辑部
地址:北京市朝阳区安贞路2号首都医科大学附属北京安贞医院北楼二层
电话:010-64456116 传真:010-64428528 邮编:100029 Email: zgyy8888@163.com
网址:www.chinamedicinej.com 京ICP备2020043099号-3

当您在使用本网站投稿遇到困难时,请直接将稿件投送到编辑部邮箱zgyy8888@163.com。







安卓


苹果

关闭