首页|基于AHP-TOPSIS法评价酮咯酸氨丁三醇注射液的合理性

基于AHP-TOPSIS法评价酮咯酸氨丁三醇注射液的合理性

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目的 建立酮咯酸氨丁三醇注射液合理性审核要点,为该药的合理性评价及临床应用提供参考.方法 通过美康合理用药监测系统(PASS),采用等间隔法抽取2023年1~6月使用酮咯酸氨丁三醇注射液的出院病历300份,以酮咯酸氨丁三醇注射液说明书、《成人术后疼痛处理专家共识》等为依据,制定酮咯酸丁三醇注射液的审核要点,采用AHP-TOPSIS对其合理性进行评价.结果 该研究建立了包括适应症、给药速度、给药剂量等9个指标的审核要点.300份出院病历中完全合理(Ci=1.0)的有75份(25%),基本合理(0.6≤Ci<1.0)的有70份(23.3%),不合理(Ci<0.6)的有155份(51.7%).存在的主要问题有适应症不适宜、用药疗程长和不恰当的合并用药.结论 运用酮咯酸氨丁三醇审核要点进行点评可提高评价的同质化水平,AHP-TOPSIS法有助于更加全面和客观地评价药物的使用合理性.
Evaluation of the rationality of ketorolac tromethamine injections based on the AHP-TOPSIS method
Objective To propose review points of the rationality of ketorolac tromethamine injections,thus providing references for the rationality evaluation and clinical application.Methods Using the Prescription Automatic Screening System(PASS,Medicom,Sichuan,China),totally 300 discharge records of patients using ketorolac tromethamine injections from January 2023 to June 2023 were extracted using an equal interval method.Based on the instructions for ketorolac tromethamine injections and the Expert Consensus on Adult Postoperative Pain Management,a review system for ketorolac tromethamine injections was developed,and its rationality was evaluated using the Analytic Hierarchy Process-Technique for Order Preference by Similarity to the Ideal Solution(AHP-TOPSIS)method.Results The review points established in the study were composed of 9 indicators,including indications,administration speed,dosage,et al.Out of 300 discharge records,75(25%)were completely reasonable(Ci=1.0),70(23.3%)were basically reasonable(0.6 ≤ Ci<1.0),and 155(51.7%)were unreasonable(Ci<0.6).The main problems included unsuitable indications,long medication courses,and inappropriate combination medication.Conclusion Using the review points to evaluate ketorolac tromethamine injections can improve the homogeneity level of the evaluation,and the use of AHP-TOPSIS method can provide a more comprehensive and objective evaluation of drugs.

Analytic Hierarchy Process-Technique for Order Preference by Similarity to the Ideal Solution(AHP-TOPSIS)methodreview pointsketorolac tromethamine injectionrationality

张娟、肖淑芬、张雪、朱海舟、张虹

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056000 河北省邯郸市,河北工程大学附属医院药学部

中国人民解放军联勤保障部队第九八○医院耳鼻咽喉头颈外科

邯郸明仁医院血液科

056000 河北省邯郸市,河北工程大学附属医院耳鼻喉头颈外一科

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AHP-TOPSIS法 审核要点 酮咯酸氨丁三醇注射液 合理性

河北省社会科学基金项目

HB23SH034

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(12)