| 摘要: |
| 目的：调查我院中医科儿童静脉注射剂的使用现状，评价其用药合理性，保障患儿用药安全。方法：采用回顾性调查方法，抽取中医科处方共计48 142份，对静脉给药处方进行用药情况统计分析。结果：静脉给药处方4 109份（8.54%），其中使用率最高的是炎琥宁注射液。处方中存在问题主要涉及超说明书用药，包括适应症不适宜和遴选的药物不适宜，其他还包括不合理联用抗菌药物等情况等，占总处方数的0.36%，静脉输液处方数的4.19%。结论：中医科静脉给药处方基本合理，对存在的问题应制定措施，提高用药安全性。 |
| 关键词: 静脉给药 抗菌药物 激素 炎琥宁注射液 |
| DOI：doi:10.13407/j.cnki.jpp.1672-108X.2016.11.010 |
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| 基金项目:上海市科学技术委员会项目，编号15dz2354300 |
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| Investigation and Analysis of the Prescription of Intravenous Injection in Department of Traditional Chinese Medicine in Children's Hospital |
| Huang Jianquan, Sun Huajun |
| (Shanghai Children’s Hospital, Shanghai Jiao Tong University, Shanghai 200040, China) |
| Abstract: |
| Objective: To investigate the clinical situation of children's intravenous administration in department of traditional Chinese medicine, evaluate the rationality of drug use, promote the rational use of drugs, and ensure the safety of children’s medication. Methods: A retrospective survey was conducted, and a total of 48,142 prescriptions were selected from the Department of traditional Chinese medicine, and the statistical analysis was carried out on the prescription of intravenous administration. Results: Prescription of intravenous drug is 4,109 (8.54%), in which the highest rate prescription are Yanhuning injection. The shortcoming in prescription mainly refers to off label drug usage, including no evidence of combined drug usage, inadequate drug selection and unreasonable drug combination. The unreasonable prescription is 0.36% in total number of prescriptions and 4.19% in venous transfusion prescriptions. Conclusion: It is basically reasonable in the children's intravenous administration in Department of traditional Chinese medicine. The measures should be made to solve the shortcoming and improve the safety of the drug. |
| Key words: intravenous administration antibacterial drugs hormone Yanhuning injection |
