药物流行病学杂志2024,Vol.33Issue(5) :489-499.DOI:10.12173/j.issn.1005-0698.202312012

阿司匹林肠溶片药物利用评价标准的建立与应用

Establishment and application of drug use evaluation criteria for aspirin enteric-coated tablets

林妹妹 章靓 郑彩云 陈焰 高燕灵 陈世财 张进华
药物流行病学杂志2024,Vol.33Issue(5) :489-499.DOI:10.12173/j.issn.1005-0698.202312012

阿司匹林肠溶片药物利用评价标准的建立与应用

Establishment and application of drug use evaluation criteria for aspirin enteric-coated tablets

林妹妹 1章靓 2郑彩云 1陈焰 1高燕灵 1陈世财 3张进华4
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作者信息

  • 1. 福建医科大学附属福清市医院药剂科(福建福清 350300)
  • 2. 福建中医药大学附属人民医院药学部(福州 350004)
  • 3. 首都医科大学附属北京潞河医院药学部(北京 101149)
  • 4. 福建省妇幼保健院药剂科(福州 350001)
  • 折叠

摘要

目的 建立阿司匹林肠溶片药物利用评价(DUE)标准,为临床合理应用阿司匹林肠溶片提供参考.方法 参考阿司匹林肠溶片药品说明书、相关指南、专家共识和文献,并通过德尔菲法,在用药指征、用药过程和用药结果3个方面建立阿司匹林肠溶片DUE标准.采用回顾性研究方法,对福建医科大学附属福清市医院2021年1月—2022年6月使用阿司匹林肠溶片的住院患者病历进行用药合理性评价.结果 共纳入1071份病历,完全符合评价标准的有683例,用药合理率为63.77%.不合理用药情况主要为适应证不适宜(6.26%)、超说明书用药未备案(28.48%)、用药禁忌(1.03%)、用法用量不适宜(1.68%)、有潜在临床意义的药物相互作用(0.65%)和其他不适宜(2.71%).结论 本研究建立的阿司匹林肠溶片DUE标准有较强的科学性、实用性和可行性.该院阿司匹林肠溶片用药不合理率较高,应制订相应的干预措施,保证临床用药安全.

Abstract

Objective To establish the drug use evaluation(DUE)criteria for aspirin enteric-coated tablets and provide a reference for the rationally clinical application of aspirin enteric-coated tablets.Methods DUE criteria for aspirin enteric-coated tablets were established from three aspects of indications,medications and medication results with reference to drug instructions of aspirin enteric-coated tablets,related guidelines,expert consensus and literature,and through Delphi method.A retrospective analysis was conducted to evaluate the medical records of patients who took aspirin enteric-coated tablets from January 2021 to June 2022 in Fuqing Hospital affiliated to Fujian Medical University.Results A total of 1 071 medical records were included.683 cases fully met the DUE criteria,with a rational rate of 63.77%.Irrational drug use mainly included inappropriate indications(6.26%),off-label drug use without approval(28.48%),contraindications(1.03%),inappropriate usage and dosage(1.68%),drug interactions with potential clinical significance(0.65%)and other inappropriate drug use(2.71%).Conclusion The established DUE standard for aspirin enteric-coated tablets has strong scientific practicability and feasibility.The irrational rate of aspirin enteric-coated tablets in this hospital is high.Corresponding intervention measures should be formulated to ensure the safety of clinical medication.

关键词

阿司匹林肠溶片/药物利用评价/专家咨询法/合理用药

Key words

Aspirin enteric-coated tablets/Drug use evaluation/Expert consultation/Rational drug use

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基金项目

福建医科大学启航基金一般项目(2020QH1345)

福建医科大学启航基金一般项目(2020QH1346)

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25
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