| 摘要: |
| 目的:调查郑州大学第三附属医院门诊患儿雾化吸入用药现状,分析评价其合理性,为临床合理用药提供参考。方法:
采用回顾性分析法,从医院信息系统提取2022 年1-3 月门诊患儿应用雾化药物处方1 017 张,对患儿性别、年龄、临床诊断、雾
化剂品种、使用量及联合用药情况等进行统计分析,评价该院儿科雾化吸入用药的合理性。结果:1 017 张雾化用药处方中,单
独用药20. 16%,二联用药56. 05%,三联用药23. 78%。在所有种类雾化药物中,糖皮质激素应用最广泛,使用率87. 61%。雾化
药与口服药联用处方占28. 52%。雾化药物主要应用于呼吸道感染、支气管炎、肺炎、哮喘、喉炎等22 类临床诊断。不合理处方
占3. 15%,主要为适应证不适宜和遴选药品不适宜。结论:我院门诊患儿雾化吸入联合用药普遍存在,用药符合治疗指南。药
品拓展性应用有循证医学证据支持,使用合理,但亦存在部分不合理用药情况,需进一步规范。 |
| 关键词: 雾化吸入 合理用药 药品拓展性应用 儿童 |
| DOI：doi:10.13407/j.cnki.jpp.1672-108X.2024.01.011 |
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| 基金项目: |
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| Rationality of Aerosol Inhalation Medication in Pediatric Outpatient |
| Wang Chen, Liu Qian, Zhang Baoyin, Bai Yingde, Ren Yanli |
| ((The Third Affiliated Hospital of Zhengzhou University,
Zhengzhou 450052, China)) |
| Abstract: |
| Objective: To investigate the current status of aerosol inhalation medication in the pediatric outpatient of the Third Affiliated
Hospital of Zhengzhou University, to analyze and evaluate its rationality, so as to provide reference for clinical rational drug use.
Methods: Retrospective analysis was conducted by extracting data from the hospital information system on 1,017 prescriptions for aerosol inhalation medication in pediatric outpatient from Jan. to Mar. 2022. Statistical analysis was performed on gender, age, clinical
diagnosis, types of nebulizers, dosage, and drug combination to evaluate the rationality of aerosol inhalation medication in pediatric
outpatient. Results: Among the 1,017 prescriptions for aerosol inhalation medication, 20. 16% were for single drug, 56. 05% for dual
medication, and 23. 78% for triple medication. Glucocorticoids were the most widely used among all aerosol inhalation medication, with
a utilization rate of 87. 61%. Prescriptions with aerosol and oral medications accounted for 28. 52%. Aerosol inhalation medication was
primarily used for 22 clinical diagnoses, including respiratory infections, bronchitis, pneumonia, asthma and laryngitis. The proportion
of irrational prescriptions was 3. 15%, mainly for inappropriate indications and unsuitable drug selection. Conclusion: Combination
therapy with aerosol inhalation is common in pediatric outpatient of our hospital, and medication usage generally aligns with treatment
guidelines. The expanded use of drugs is supported by evidence-based medicine, demonstrating rationale utilization. However, there are
instances of irrational drug use that need further standardization. |
| Key words: aerosol inhalation rational drug use extended use of drugs children |
