473张门、急诊静脉输液处方用药合理性分析

摘要

OBJECTIVE:To probe into the rationality of 473 outpatient and emergency prescriptions of intravenous transfusion in the Dalang Hospital of Dongguan(hereinafter referred to as "our hospital"), promote the rational clinical application of intravenous transfusion and ensure the medication safety.METHODS: 2 000 outpatient and emergency prescriptions in Jun.30th, 2015 were randomly extracted via retrospective review, of which the intravenous transfusion prescriptions were analyzed in terms of the drug application, and the rationality was evaluated.RESULTS: 473 prescriptions were intravenous transfusion, which accounted for 23.7% of the 2 000 prescriptions.The rate of intravenous transfusion for children was 50.3%(238/473), and the rate of that for antibacterial drugs was 55.4%(262/473).The most irrational drug application of intravenous transfusion was the lack of necessity, which accounted for 12.7%(60 prescriptions)of the total prescriptions, and the rest irrational drug applications were respectively inappropriate selection of drugs and no indications of medication, etc.CONCLUSIONS: Irrational drug application includes unnecessary intravenous application and antibacterial drugs application in intravenous transfusion existed widely, intervention and administration need to be reinforced to improve rational drug application.%目的:探讨东莞市大朗医院(以下简称"我院")门、急诊静脉输液处方用药的合理性,促进临床合理应用静脉输液,保障用药安全.方法:采取回顾性调查方法,随机抽取我院2015年6月30日门、急诊处方2 000张,对其中静脉输液处方用药情况进行统计分析,评价其用药合理性.结果:2 000张门、急诊处方中,静脉输液处方473张,占23.7%.儿童静脉输液率为50.3%(238/473),抗菌药物静脉输液率为55.4%(262/473).静脉输液处方中最严重的不合理用药为静脉用药缺乏必要性,有60张处方,占总输液处方数的12.7%;其次分别为遴选药品不适宜、无用药指征等.结论:我院静脉用药缺乏必要性的现象较多,静脉输液处方中抗菌药物的使用较普遍,存在不合理用药情况,需加强干预和监管,提高合理用药水平.