首页|1 144例患者术后镇痛泵的使用情况调查及合理用药分析

1 144例患者术后镇痛泵的使用情况调查及合理用药分析

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目的:调查术后镇痛泵的使用情况,促进术后镇痛泵的合理规范使用。方法:抽取 2023 年 5 月 1-10 日该院进行手术的1 144 例患者,回顾性分析术后镇痛泵的使用情况,包括使用率、不良反应、人均药品费和用药合理性。结果:1 144 例患者中,术后使用镇痛泵的有788 例,镇痛泵使用率为68。88%。788 例术后使用镇痛泵的患者中,人均药品费用为799。18 元;镇痛泵用药不合理 557 例(占 70。68%);不合理用药主要表现为药物联合应用不适宜(506 例,占 64。21%)、药物遴选不适宜(517 例,占 65。61%)和存在配伍禁忌(35 例,占 4。44%)。结论:该院术后镇痛泵的使用存在较多不合理现象,临床药师应参与术后镇痛泵的管理,降低镇痛泵的用药不合理率及患者的经济负担。
Investigation on Use of Postoperative Analgesic Pump and Analysis of Rational Drug Use in 1 144 Patients
OBJECTIVE:To investigate the use of postoperative analgesia pump,so as to promote the rational use of postoperative analgesia pump.METHODS:A total of 1 144 patients undergoing surgery in the hospital from May 1st to 10th,2023 were selected.The use of postoperative analgesia pump was analyzed retrospectively,including the utilization rate of postoperative analgesic pump,adverse drug reactions,per capita drug costs and rationality.RESULTS:Among the 1 144 patients,788 patients used analgesic pump after surgery,with utilization rate of 68.88%.Among 788 patients with postoperative analgesic pump,the per capita drug cost was 799.18 yuan.Irrational use of analgesic pump was fund in 557 cases(70.68%),which were mainly manifested in 506 cases(64.21%)of inappropriate drug combination,517 cases(65.61%)of inappropriate drug selection,and 35 cases(4.44%)of incompatibility contraindications.CONCLUSIONS:There are some irrational phenomena in the use of postoperative analgesia pump in the hospital.Clinical pharmacists should participate into the management of postoperative analgesia pump to reduce the irrational rate of drug use and the economic burden on patients.

Postoperative analgesia pumpAnalysis on drug useStandardized use

李倩、解皓、赵锦、闫文英、黄文斐、刘国强

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河北医科大学第三医院临床药学部,石家庄 050000

术后镇痛泵 用药分析 规范使用

河北省医学科学研究课题(2021)

20211783

2024

中国医院用药评价与分析
中国医药生物技术协会,中国药房杂志社

中国医院用药评价与分析

CSTPCD
影响因子:1.142
ISSN:1672-2124
年,卷(期):2024.24(5)
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