首页|静脉用质子泵抑制剂医嘱专项点评合理性分析

静脉用质子泵抑制剂医嘱专项点评合理性分析

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目的 对某三级甲等医院住院患者使用注射用质子泵抑制剂(PPIs)情况及合理用药进行调查,并探讨合理用药具体措施.方法 从医院信息系统中抽选2023年6月~2023年9月使用注射用PPIs的住院患者病历1076份,通过多个PPIs规范性文件制定合理性评价标准开展评价分析.结果 抽选的1076份的病历中,不合理用药病历数为124份、不合理用药率为11.52%.存在的不合理用药行为包括无指征性的治疗与预防用药、品种与溶媒选择不合适、给药途径方式不适宜、用药疗程不合理性、存在超剂量用药问题等.结论 重视注射用PPIs使用管理、加强处方评价与药物监测工作、改进不合理用药行为,才能促进患者用药疗效性和安全性目的.
Investigation and Rational Use of Proton Pump Inhibitors for Injection in Clinical Practice
OBJECTIVE To investigate the use and rational use of proton pump inhibitors(PPIs)for injection among hospitalized patients in a tertiary hospital,and to explore specific measures for rational use of drugs.METHODS 1076 hospitalized patients who used injectable PPIs from June 2023 to September 2023 were se-lected from the hospital information system for evaluation and analysis.RESULTS Among the 1076 selected medi-cal records,there were 124 cases of irrational drug use,with an irrational drug use rate of 11.52%.The existing irra-tional drug use behaviors include non indicative treatment and preventive medication,inappropriate selection of varie-ties and solvents,inappropriate administration routes,irrational drug treatment courses,and the existence of overdose problems.CONCLUSION Paying attention to the management of the use of injectable PPIs,strengthening prescrip-tion evaluation and drug monitoring,and continuously improving irrational drug use behavior can promote the efficacy and safety of patient medication.

Injection PPIsClinical medicationRational use

谢丽平、蔡忠捷、林王椿

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宁德市闽东医院,福建宁德 355000

注射用PPIs 临床用药 合理用药

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(11)