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罗沙司他药物利用评价标准的建立及应用

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目的 通过药物利用评价(DUE)方法建立罗沙司他DUE标准,为临床合理使用罗沙司他提供参考.方法 采用回顾性分析法,依据建立的罗沙司他DUE标准,对2020年4月至2021年9月安徽省阜阳市第二人民医院212例使用罗沙司他的归档病历进行评价分析.结果 建立罗沙司他DUE标准,具体包括用药指征、用药过程、高风险药物相互作用、用药结果和管理指标5个部分.212例病历中不符合用药指征的有9例;用法用量方面有88例不合理;剂量调整方面有155例不合理.与罗沙司他存在高风险药物相互作用情况较多,其中减少可引起药物-药物相互作用的药物用量不合理病历23例,减少罗沙司他剂量不合理病历2例,增加罗沙司他剂量不合理病历3例,间隔服用不合理病历49例,避免合用不合理病历117例.212例病历中共163例未记录罗沙司他或与之有高风险相互作用药物的用药详情及用药后反应.212例患者合用药物使用共316例次.结论 安徽省阜阳市第二人民医院罗沙司他使用存在不合理现象,建立的罗沙司他DUE标准具有较好的实用性,在临床实践应用中可发现临床用药过程中存在的问题或不足,对促进临床合理用药起到积极意义.
Establishment and application of criteria for Roxadustat drug use evaluation
Objective To establish the Roxadustat drug use evaluation(DUE)standard by DUE method and provide reference for rational use of Roxadustat in clinic.Methods A retrospective analysis method was used to evaluate the archived medical records of 212 patients using Roxadustat in the Second People's Hospital of Fuyang City,Anhui Province from April 2020 to September 2021 according to the established Roxadustat DUE standard.Results The Roxadustat DUE standard was established,which included five parts:drug indication,drug process,high-risk drug interaction,drug outcome,and management index.Among the 212 medical records,nine cases did not meet the drug indications.There were 88 cases of unreasonable usage and dosage.There were 155 cases of unreasonable dose adjustment.There were many high-risk drug interactions with Roxadustat,including 23 cases of unreasonable medical records reduction of drug dosage that could cause drug-drug interaction,two cases of unreasonable medical records reduction of Roxadustat dose,three cases of unreasonable medical records increase of Roxadustat dose,49 cases of unreasonable medical records interval administration,and 117 cases unreasonable medical records avoidance of sharing.A total of 163 patients in 212 medical records did not record the details of Roxadustat or drugs with which there was a high risk of interaction and their reactions after administration.A total of 212 patients were treated with combined drugs for 316 times.Conclusion There are unreasonable phenomena in the use of Roxadustat in the Second People's Hospital of Fuyang City,Anhui province.The established Roxadustat DUE standard has good practicability,and problems or deficiencies in the process of clinical drug use can be found in clinical practice,which plays a positive role in promoting clinical rational drug use.

RoxadustatCriteria for drug use evaluationRenal anemiaRational drug use

张玲玲、张瑞、刘志强、王亚男

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安徽省阜阳市第二人民医院药剂科,安徽阜阳 236000

罗沙司他 药物利用评价标准 肾性贫血 合理用药

安徽省重点研发计划一般项目

202004j07020011

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(13)
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