中国药物警戒 ›› 2017, Vol. 14 ›› Issue (4): 246-248.

• 安全性评价与合理用药 • 上一篇    下一篇

眼科儿童用药合理性分析

王丽, 宫瑞中, 王琛   

  1. 山西省眼科医院药剂科,山西 太原 030002
  • 收稿日期:2017-07-05 修回日期:2017-07-05 出版日期:2017-04-20 发布日期:2017-07-05
  • 作者简介:王丽,女,主管药师,眼科合理用药。

Analysis of Medication Rationality in Children of Ophthalmology

WANG Li, GONG Rui-zhong, WANG Chen   

  1. Department of Pharmacy, Shanxi Eye Hospital, Shanxi Taiyuan 030002, China
  • Received:2017-07-05 Revised:2017-07-05 Online:2017-04-20 Published:2017-07-05

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摘要： 目的 分析我院眼科儿童用药的合理性,促进临床合理用药。方法 采用回顾性分析的方法,对我院儿童处方和病历各400份进行专项点评,分析不合理用药情况。结果 抽查的400张处方中,不合理处方25张,不合理率为6.25%。其中适应证不适宜 6例（1.5%）、用法用量不适宜6例（1.5%）、选用药物不当9 例（2.25%）、超说明书用药 4 例（1.00%）。抽查的 400份病历中,不合理医嘱20条（5.00%）,主要为重复用药（2.75%）,其次为抗菌药物的不合理使用（1.25%）。结论 我院儿童用药存在一定的不合理现象,建议全面实行电子处方,引入处方前置性审核系统,按照说明书用药的同时,及时关注儿童用药信息更新,进一步加强我院儿童合理用药。

关键词: 眼科, 儿童用药, 合理性分析

Abstract: Objective To investigate the rationality of medication for children in our hospital so as to promote rational use of drugs in ophthalmology. Methods We retrospectively analyzed a total of 400 outpatient prescriptions and 400 medical records collected from Shanxi eye hospital to analyze the medication situation of children in ophthalmology. Results There are 25 unreasonable situations in 400 outpatient prescriptions with irrationality ratio of 6.25%, including 6 cases of non-indicated use of drugs (accounting for 1.5%), 6 cases of inappropriate administration (accounting for 1.5%),9 cases of inappropriate choice of drugs (accounting for 2.25%) and 4 cases of off-label usage (accounting for 1.00%). 20 unreasonable situations were analyzed in 400 medical records with irrationality ratio of 5%,which were mainly composed of repeated-use of medication (2.75%) and irrational use of antibacterial drugs (1.25%). Conclusion In order to improve the irrational situation of medication for children existed in our hospital, it is recommended to the overall implementation of electronic prescription, intervention of pre-prescription review, compliance of drug instructions and timely attention to updated information of drug instruction.

Key words: ophthalmology, medication of children, rationality analysis

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