基于属性层次模型的刺五加注射液临床使用合理性评价
Rationality Evaluation on Clinical Application of Acanthopanax Senticosus Injection Based on Attribute Hierarchy Model
程国亭 1胡海锦 2徐登球 3张进华4
作者信息
- 1. 宣城市中心医院药剂科,安徽 宣城 242000
- 2. 北京北亚骨科医院药剂科,北京 102445
- 3. 安徽医科大学第一附属医院肿瘤免疫微环境研究及治疗重点实验室,合肥 230022;南京大学医学院,南京 210093
- 4. 福建省妇幼保健院药剂科,福州 350001
- 折叠
摘要
目的:建立刺五加注射液药物利用评价标准,综合评价刺五加注射液临床使用合理性.方法:以刺五加注射液的药品说明书为基础,参考相关指南和文献,制定刺五加注射液药物利用评价标准.构建 12 项合理性指标评价体系的属性层次模型,对2022 年1-6月宣城市中心医院使用刺五加注射液的546 例出院病例进行用药合理性评价.结果:刺五加注射液不合理应用问题主要为适应证不适宜、禁忌证用药、用法与用量不适宜、联合用药不适宜.病例得分(MRS)≥90 分的有 9 例(占 1.65%),80 分≤MRS<90 分的有 435 例(占 79.67%),MRS<80 分的有 102 例(占 18.68%).结论:该院刺五加注射液临床使用问题突出,需加强管理.属性层次模型科学合理、简单快捷,为综合评价药物使用合理性提供了一种新的思路.
Abstract
OBJECTIVE:To establish the criteria for drug utilization evaluation of acanthopanax senticosus injection and comprehensively evaluate the clinical application rationality of acanthopanax senticosus injection.METHODS:Based on drug instructions of acanthopanax senticosus injection,the criteria for drug utilization evaluation of acanthopanax senticosus injection were established with reference to relevant guidelines and literature.The attribute hierarchy model of 12 rationality index evaluation system was constructed to evaluate and analyze 546 discharged patients with acanthopanax senticosus injection in Xuancheng Central Hospital from Jan.to Jun.2022.RESULTS:The irrational problems of acanthopanax senticosus injection mainly included inappropriate indications,contraindications,improper usage and dosage,and inappropriate drug combination.There were 9 cases(1.65%)with medical record score(MRS)≥90 points,435 cases(79.67%)with 80 points≤MRS<90 points,and 102 cases(18.68%)with MRS<80 points.CONCLUSIONS:The clinical application of acanthopanax senticosus injection in the hospital is prominent,and the management needs to be strengthened.The attribute hierarchy model is scientific,rational,simple and fast,and provides a new way to comprehensively evaluate the application rationality.
关键词
刺五加注射液/属性层次模型/评价标准/合理性评价Key words
Acanthopanax senticosus injection/Attribute hierarchy model/Evaluation criteria/Rationality evaluation引用本文复制引用
基金项目
中国博士后科学基金面上项目(2021M691524)
出版年
2024
国家科技期刊平台
NSTL
万方数据