首页|依达拉奉右莰醇注射用浓溶液评价标准的建立及用药合理性评价

依达拉奉右莰醇注射用浓溶液评价标准的建立及用药合理性评价

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目的 建立依达拉奉右莰醇注射用浓溶液药物利用评价(DUE)标准,并评价其用药合理性。方法 以依达拉奉右莰醇注射用浓溶液说明书为基础,并根据山东省泰安市中医医院实际应用情况及相关诊疗指南制定DUE标准,选取 2022 年 1 月至 2023 年 8 月符合标准的 141 份病历,采用属性层次模型(AHM)进行用药合理性评价。结果 141 份病历中,适应证不合理占比为 14。17%,用法用量不合理占比为 12。77%,溶媒不合理占比为 1。42%,配伍禁忌不合理占比为 2。84%,禁忌证不合理占比为 6。38%,联合用药不合理占比为 9。22%,疗程不合理占比为 4。96%,临床疗效评价不合理占比为 7。09%,不良反应监测不合理占比 4。96%,用药监护不合理占比为 2。84%,医师权限指标不合理占比为 2。13%。结论 依达拉奉右莰醇注射用浓溶液在临床应用期间存在部分不合理用药情况,需引起临床医生和药师的高度重视。
Establishment of documents under evaluation for Edaravone and Dexborneol concentrated solution for injection and evaluation of drug use rationality
Objective To establish documents under evaluation(DUE)for Edaravone and Dexborneol concentrated solution for injection,and to evaluate its drug use rationality.Methods Based on the instructions of the Edaravone and Dexborneol concentrated solution for injection,and based on the actual application situation and relevant diagnosis and treatment guidelines of Taian Hospital of Traditional Chinese Medicine in Shandong Province,DUE standards were formulated.141 medical records that met the standards from January 2022 to August 2023 were selected,and the drug use rationality was evaluated using the attribute hierarchical model(AHM).Results Among 141 medical records,the proportion of irrational indications was 14.17%,the proportion of irrational usage and dosage was 12.77%,the proportion of irrational solvents was 1.42%,the proportion of irrational compatibility contraindications was 2.84%,the proportion of irrational contraindications was 6.38%,the proportion of irrational combination therapy was 9.22%,the proportion of irrational treatment courses was 4.96%,the proportion of irrational clinical efficacy evaluation was 7.09%,unreasonable monitoring of adverse reactions accounted for 4.96%,the proportion of irrational medication monitoring was 2.84%,and the proportion of irrational physician authority indicators was 2.13%.Conclusion There are some irrational use of edaravone dexcamphorol injection concentrated solution during clinical application,which should be paid attention to by clinicians and pharmacists.

Edaravone and Dexborneol concentrated solution for injectionDocuments under evaluationDrug use rationalityIndications

李业永

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山东省泰安市中医医院药学部,山东泰安 271000

依达拉奉右莰醇注射用浓溶液 药物利用评价 用药合理性 适应证

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(17)