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Analysis about use of glucocorticoid drug in inpatients of our hospital in 2017 |
LI Jia1 JIANG Li2 LI Rubing2 |
1.Department of Endocrinology, General Hospital of Guangzhou Military Command of PLA, Guangdong Province, Guangzhou 510010, China;
2.Department of Pharmacy, General Hospital of Guangzhou Military Command of PLA, Guangdong Province, Guangzhou 510010, China |
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Abstract Objective To investigate the application of glucocorticoid drugs with the existing problems in Guangzhou General Hospital of Guangzhou Military Command ("our hospital" for short), in order to provide a reference for the clinical use of glucocorticoid drugs. Methods 1200 inpatient glucocorticoid prescriptions were randomly selected from January to December in 2017, the using type and the medication of the glucocorticoid drugs were counted, and the unreasonable prescriptions were analyzed. Results 6 kinds of glucocorticoid drugs were used in the 1200 inpatient glucocorticoid prescriptions, including 1 injection, 3 kinds of troche, 1 powder-injection and 1 inhalation, the most commonly used drug were Dexamethasone Sodium Phosphate (71.42%) and Prednnisone Acetate (19.50%). According to the comment of prescriptions, 213 irrational prescriptions amounted to 17.79% among 1200 prescriptions, the inappropriate indications amounted to 45.07% and the inappropriate usage amounted to 23.32%. Conclusion The monitoring and management about the rational use of glucocorticoid drugs should be strengthened in order to reduce the incidence of adverse reactions, and promote the rational use of clinic.
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[1] 张红雨.某三甲医院门诊糖皮质激素全身用药情使用情况分析[J].北方药学,2017,14(10):178-179.
[2] 邓小莹,吴莹.某住院患者糖皮质激素类药物使用分析[J].今日药学,2014,24(5):383.
[3] 中华医学会.糖皮质激素类药物临床应用指导原则[J].中华内分泌代谢杂志,2012,28(2):171-202.
[4] 卫生部办公厅.关于印发《糖皮质激素类药物临床应用指导原则》的通知[S].卫办医政发[2011]23号.
[5] 国家药典委员会.中华人民共和国药典?临床用药须知:化学药与生物制品卷[M].北京:人民卫生出版社,2015.
[6] 卫生部关于印发《医院处方点评管理规范(试行)》的通知[EB/OL].(2010-03-03)[2018-10-28]. http://www.nhfpc.gov.cn/yzygj/s3590/201003/ac4d04a85da5478793761224abc 10fd3.shtml.
[7] 王彧杰,韩璐,原永芳.倾向评分匹配法在门诊糖皮质激素处方合理性评价中的应用[J].中国药房, 2016, 27(32):4490-4492.
[8] 黄凰.糖皮质激素类药物的用药误区及合理用药分析[J].海峡药学,2017,29(10):243-244.
[9] 马小军.羊膜腔注射地塞米松促肽肺成熟对胎儿的短期影响[J].临床合理用药,2017,7(4):152-153.
[10] 彭清华,陈云艳.323例本院住院患者糖皮质激素类药物使用情况分析[J].临床合理用药,2017,9(10):98-99.
[11] 王爽,王钦.我院2016年门诊糖皮质激素药物不合理实用调查[J].中国当代医药,2017,24(8):170-172.
[12] 杨波.某医院住院患者糖皮质激素类药物应用分析[J].宁夏医科大学报,2017,6(6):708-711.
[13] 曹桂萍,王玉龙.我院2016年儿科门急诊糖皮质激素类药物使用情况分析[J].海峡药学,2017, 29(10): 253-255.
[14] 姜哲,钟爱桥.糖皮质激素在儿科疾病中的应用现状及合理性分析[J].中国医院药学杂志,2016,35(5):440-443.
[15] 苏兆颖.门急诊糖皮质激素处方点评工作难点分析[J].中国医院药学杂志,2016,36(20):1804-1807.
[16] 辛学俊,梁震野.地塞米松磷酸钠注射液注射液与维生素B6注射液的配伍稳定性[J].西北药学杂志,2012.17(3):119-121.
[17] 马福颖,刘红艳,赵春艳.甘露醇注射液与注射用地塞米松磷酸钠存在配伍禁忌1例[J].黑龙江医药科学, 2012,35(6): 42.
[18] 张荷叶.住院患者糖皮质激素应用调查分析[J].中国药物与临床,2015,15(4): 490-493.
[19] 中华医学会呼吸病学分会哮喘学组.中国支气管哮喘防治指南(基层版)[J].中国实用内科杂志,2013,36(8):331-336.
[20] 李飞.慢性支气管炎、阻塞性肺气肿、慢性阻塞性肺病患者的住院用药情况分析[J].中国医药指南,2015,10(23):199-200. |
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