药物流行病学杂志2024,Vol.33Issue(2) :121-127.DOI:10.12173/j.issn.1005-0698.202312013

阿加曲班药物利用评价标准的建立与应用

Establishment and application of drug use evaluation criteria of argatroban

戴亨纷 郑彩云 刘云春 张宏 刘茂柏 张进华
药物流行病学杂志2024,Vol.33Issue(2) :121-127.DOI:10.12173/j.issn.1005-0698.202312013

阿加曲班药物利用评价标准的建立与应用

Establishment and application of drug use evaluation criteria of argatroban

戴亨纷 1郑彩云 2刘云春 1张宏 1刘茂柏 3张进华4
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作者信息

  • 1. 福建医科大学附属福州市第一医院药学部(福州 350009)
  • 2. 福建医科大学附属福清市医院临床药学科(福州 350300)
  • 3. 福建医科大学附属协和医院药学部(福州 350001)
  • 4. 福建省妇幼保健院药剂科(福州 350005)
  • 折叠

摘要

目的 建立阿加曲班药物利用评价(DUE)标准,为临床阿加曲班的合理使用提供参考.方法 以阿加曲班国内外药品说明书为基础,参考相关指南和文献,采用专家咨询法建立DUE标准细则,并运用建立的标准细则,对福建医科大学附属福州市第一医院2020年8月-2022年8月使用阿加曲班的住院患者病历进行用药合理性评价.结果 共纳入368份病历,用药合理率为48.64%.不合理用药主要表现为无适应证用药(46.19%)和联合用药不适宜(4.35%).结论 该院阿加曲班临床用药合理率不高,存在问题主要包括超适应证用药和联合用药不合理.通过建立DUE标准细则并用于临床,可进一步规范阿加曲班的临床使用,提高合理用药水平.

Abstract

Objective To establish the argatroban drug use evaluation(DUE)criteria and provide reference for the rational use of argatroban in clinical practice.Methods Based on the domestic and foreign drug instructions of argatroban,referring to relevant guidelines and literature,the DUE standard rules were established by expert consultation.Using the established standard rules,the medical records of argatroban in the Fuzhou First Hospital Affiliated with Fujian Medical University from August 2020 to August 2022 were evaluated for the rationality of medication.Results A total of 368 medical records were included,the rational rate of drug use was 48.64%,and the irrational drug use was mainly without indications(46.19%)and inappropriate combination of drugs(4.35%).Conclusion The rational rate of argatroban clinical use in the hospital is not high,and the problems mainly include off-indication drug use and unreasonable combination drug use.Through the establishment and clinical application of DUE standard rules,the clinical use of argatroban can be further standardized and the ability of rational drug use can be improved.

关键词

阿加曲班/药物利用评价标准/专家咨询法/合理用药

Key words

Argatroban/Drug use evaluation criteria/Expert consultation method/Rational drug use

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基金项目

福建省自然科学基金(2021J011304)

福州市卫生健康科技计划(2022-S-wq1)

福州市卫生健康科技计划(2022-S-wr2)

福建医科大学附属福州市第一医院院级科研项目(2022-YJ-02)

出版年

2024
药物流行病学杂志
中国药学会 武汉医药(集团)股份有限公司

药物流行病学杂志

CSTPCD
影响因子:0.746
ISSN:1005-0698
参考文献量14
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