首页|七类81323条多药配伍"混滴"医嘱回顾性分析

七类81323条多药配伍"混滴"医嘱回顾性分析

扫码查看
目的 为多药(含两种及两种以上主药)配伍"混滴"医嘱审核提供参考依据,确保临床用药安全性.方法 医院HIS系统提取静脉用药调配中心审核的81323 条多药配伍"混滴"医嘱,按用药目的进行分类;查阅文献资料进行联用合理性和配伍稳定性分析.结果 多药配伍"混滴"医嘱共7 类,含10%氯化钾、10%氯化钠、胰岛素、维生素C等共28 种主药,其中硫酸镁与罂粟碱,维生素B6 与维生素C,胰岛素与两性霉素B,复方甘草酸苷与谷胱甘肽两两间存在配伍禁忌;间苯三酚、复方甘草酸单铵S、阿昔洛韦、前列地尔等药物配伍稳定性资料较少,应避免与其他药物组合联用;电解质与水溶性维生素配伍存在争议,应按说明书要求配伍使用.结论 多药配伍"混滴"不能简单看作是药物两两相加,配伍联用除参考文献资料外,还需结合实际操作中的配伍结果进行综合分析,确保临床用药安全性.
Retrospective Analysis of 81323"Mixed Drop"Medical Orders for Multi Drug Compatibility in Seven Categories
OBJECTIVE To provide reference for the review of medical orders for"mixed drops"of multiple drugs(including two or more main drugs),and to ensure the safety of clinical drugs.METHODS The hospital HIS system extracted 81323 multi-drug compatibility"mixed drops"medical orders reviewed by the intravenous drug dis-pensing center,and classified them according to the purpose of medication.The rationality of co-use and compatibility stability were analyzed by referring to the literature.RESULTS There were 7 types of"mixed drops"medical or-ders with multi-drug compatibility,including 28 main drugs such as 10%potassium chloride,10%sodium chloride,insulin and vitamin C,among which magnesium sulfate and papaverine,vitamin B6 and vitamin C,insulin and ampho-tericin B,compound glycyrrhizin and glutathione had incompatibility.The compatibility stability data of phloroglucin-ol,compound monomammonium glycyrrhizate S,acyclovir,alprostadil and other drugs were less,so the combination with other drugs should be avoided.The compatibility of electrolytes and water-soluble vitamins was controversial and should be used according to the instructions.CONCLUSION The"mixed drops"of multi-drug compatibility can-not be simply regarded as the addition of two drugs.In addition to the reference materials,the combination of compat-ibility results in practical operation should be comprehensively analyzed to ensure the safety of clinical drugs.

Multi-drug compatibilityAnalysis of medical adviceRational drug useUse togetherIncompatibility

唐微艳、蓝琼妮、周春霞、黄振光

展开 >

广西医科大学第一附属医院药学部,广西南宁 530021

多药配伍 医嘱分析 合理用药 配伍联用 配伍禁忌

2024

海峡药学
中国药学会福建分会

海峡药学

影响因子:0.643
ISSN:1006-3765
年,卷(期):2024.36(5)