药物流行病学杂志2024,Vol.33Issue(2) :145-151.DOI:10.12173/j.issn.1005-0698.202306025

注射用纤溶酶药物利用评价标准的建立与应用

Establishment and application of drug use evaluation criteria of fibrinogenase for injection

任瑞琴 章靓 龚一珍 张进华
药物流行病学杂志2024,Vol.33Issue(2) :145-151.DOI:10.12173/j.issn.1005-0698.202306025

注射用纤溶酶药物利用评价标准的建立与应用

Establishment and application of drug use evaluation criteria of fibrinogenase for injection

任瑞琴 1章靓 2龚一珍 1张进华3
扫码查看

作者信息

  • 1. 福建省宁德市中医院药剂科(福建宁德 352100)
  • 2. 福建中医药大学附属人民医院药学部(福州 350004)
  • 3. 福建省妇幼保健院药剂科(福州 350001)
  • 折叠

摘要

目的 建立注射用纤溶酶药物利用评价(DUE)标准,为临床合理应用注射用纤溶酶提供参考.方法 以注射用纤溶酶药品说明书为基础,参考相关指南与文献,并通过专家咨询法,从用药指征、用药过程和用药结果3个方面建立DUE标准细则.采用回顾性调查方法,对宁德市中医院2021年1-12月使用注射用纤溶酶的住院患者病历进行评价.结果 共纳入256份病历,用药合理率为61.72%.不合理用药情况主要包括用法用量不适宜(3.91%)、超说明书用药(1.95%)、未皮试(8.98%)、疗程不足或过长(25.00%).结论 建立的注射用纤溶酶DUE标准细则有较强的科学性、实用性和可行性,在禁忌证、高凝血状态使用注射用纤溶酶、超说明书用药管理方面可进一步优化.

Abstract

Objective To establish the drug use evaluation(DUE)standard of fibrinogenase for injection and provide a reference for the rational clinical application of fibrinogenase for injection.Methods Based on the specification of fibrinogenase for injection,the DUE standard was established from three aspects:drug indication,drug process and drug results,with reference to relevant guidelines and literature,and through discussion with clinical experts.A retrospective survey was conducted to evaluate the inpatients using fibrinogenase for injection from January 2021 to December 2021 in Ningde Hospital of Traditional Chinese Medicine,Fujian Province.Results A total of 256 patients were included,with a medication reasonable rate of 61.72%.The irrational use of drugs was mainly including the inappropriate usage and dosage(3.91%),off-label medication(1.95%),no skin test(8.98%),too long or inadequate course of medication(25.00%).Conclusion The DUE standard established of fibrinogenase for injection is scientific,practical and feasible.The use of fibrinogenase for injection in contraindications and high blood coagulation state,and off-label medication can be further optimized.

关键词

注射用纤溶酶/药物利用评价/标准细则/专家咨询法/合理用药

Key words

Fibrinogenase for injection/Drug use evaluation/Standard/Expert consultation/Rational drug use

引用本文复制引用

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18
段落导航相关论文