首页|2018年至2022年某中医院第二类精神药品使用情况分析

2018年至2022年某中医院第二类精神药品使用情况分析

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目的 促进中医院第二类精神药品的合理使用。方法 利用医院信息系统收集安徽省芜湖市中医医院 2018 年至 2022 年第二类精神药品的销售数据,分析用药频度(DDDs)、限定日费用(DDC)、排序比(B/A);按第二类精神药品门急诊处方 150 张/年和病历医嘱 50 份/年,根据药品说明书、相关指南及专家共识进行处方点评。结果 2020 年,第二类精神药品销售金额最大,占全院药品销售总金额的 1。86%;地佐辛注射液、盐酸曲马多缓释片、咪达唑仑注射液销售金额排名前 3;阿普唑仑片、艾司唑仑片、地佐辛注射液的DDDs排名前 3;阿普唑仑片的DDC最低;地佐辛注射液的B/A在 0。33~1。00 之间。共收集 1 000 张处方/医嘱,其中合理处方709 张,合理医嘱 228 条,合理率为 93。70%;不合理类型包括用药不规范、不适宜。结论 该院 2018 年至 2022 年第二类精神药品的使用存在不合理现象,应继续加强对其的管理和监控,确保临床用药安全、合理。
Usage of Class Ⅱ Psychotropic Drugs in a Traditional Chinese Medicine Hospital from 2018 to 2022
Objective To promote the rational use of class Ⅱ psychotropic drugs in traditional Chinese medicine hospitals.Methods The sales data of class Ⅱ psychotropic drugs in the Wuhu Traditional Chinese Medicine Hospital from 2018 to 2022 were collected from the hospital information system to analyze the defined daily dose system(DDDs),defined daily cost(DDC),and ranking ratio(B/A).A total of 150 outpatient and emergency prescriptions per year and 50 medical orders per year for class Ⅱ psychotropic drugs were selected to conduct prescription review according to the drug inserts,relevant guidelines,and expert consensus.Results In 2020,the consumption sum of class Ⅱ psychotropic drugs was the highest,accounting for 1.86%of the total consumption sum of drugs in the hospital.The consumption sum of Dizosin Injection,Tramadol Hydrochloride Sustained-Release Tablets,and Midazolam Injection ranked in the top three.The DDDs of Alprazolam Tablets,Eszolam Tablets,and Dezosin Injection ranked in the top three.The DDC of Alprazolam Tablets was the lowest.The B/A of Dizosin Injection was in the range of 0.33-1.00.A total of 1 000 prescriptions/medical orders were collected,including 709 rational prescriptions and 228 rational medical orders,with a rational rate of 93.70%,and the irrational types included non-standard and unsuitable medication.Conclusion The use of classⅡ psychotropic drugs in the hospital from 2018 to 2022 is unreasonable,and it is necessary to continue to strengthen the management and monitoring of classⅡ psychotropic drugs to ensure the safety and rationality of clinical medication.

traditional Chinese medicine hospitalclass Ⅱ psychotropic drugsrational drug useprescription review

汪江涛、丁伯平、范琳琳、叶鸣、蒋慧莲

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安徽省芜湖市中医医院,安徽 芜湖 241000

皖南医学院药学院,安徽 芜湖 241000

皖南医学院弋矶山医院,安徽 芜湖 241000

中医院 第二类精神药品 合理用药 处方点评

安徽省高等学校自然科学研究重点项目(2023)

2023AH053202

2024

中国药业
重庆市食品药品监督管理局

中国药业

CSTPCD
影响因子:1.369
ISSN:1006-4931
年,卷(期):2024.33(7)
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