中国药物警戒 ›› 2018, Vol. 15 ›› Issue (12): 746-750.

• 安全性评价与合理用药 • 上一篇    下一篇

小儿急性支气管肺炎临床用药分析

方思晓1, 杨悦2*   

  1. 1沈阳药科大学生命科学与生物制药学院,辽宁 沈阳 110016;
    2沈阳药科大学工商管理学院,辽宁 沈阳 110016
  • 收稿日期:2019-01-18 修回日期:2019-01-18 出版日期:2018-12-20 发布日期:2019-01-18
  • 通讯作者: 杨悦,女,博士,教授·博导,药事法规与药品政策。E-mail：yyue@vip.126.com
  • 作者简介:方思晓,女,在读硕士,临床药学。

Analysis of Clinical Medications in Children with Acute Bronchopneumonia

FANG Sixiao1, YANG Yue2*   

  1. 1School of Life Science and Biopharmaceutics, Shenyang Pharmaceutical University, Liaoning Shenyang 110016, China;
    2School of Business Administration, Shenyang Pharmaceutical University, Liaoning Shenyang 110016, China
  • Received:2019-01-18 Revised:2019-01-18 Online:2018-12-20 Published:2019-01-18

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摘要： 目的 通过收集我院急性支气管肺炎患儿的病例资料,分析该类患者用药情况,为临床合理用药提供参考。方法 收集我院2016年11月~ 2017年11月急性支气管肺炎患儿的病历资料,分析急性支气管肺炎患儿使用药物的合理性。结果 共收集432例病例,3 961条用药医嘱,人均用药医嘱9.17条。治疗药物包括抗菌药物等共6类25种药物,药物品种选择基本合理。其中不合理用药医嘱618条,占总用药医嘱的15.60%。不合理药物包括中药注射剂和抗菌药物,不合理类型以用法用量不适宜和给药途径不适宜为主。结论 我院急性支气管肺炎患儿在治疗期间药物的使用基本合理,但仍存在少数处方不合理情况,应加强抗菌药物和中药注射剂的使用管理,提高儿童合理用药水平。

关键词: 儿童, 急性支气管肺炎, 抗菌药物, 合理用药

Abstract: ObjectiveBy collecting the medications of acute bronchopneumonia in children in our hospital, to analyze drug use in these patients, and provide some reference for the rational use of drugs. Methods The medical records of acute bronchopneumonia in children from November 2016 to November 2017 were collected, and the rationalities of the use of drugs with acute bronchopneumonia in children were analyzed. Results A total of 432 cases were collected, where 3 961 medications in total and 9.17 medications per patient were prescribed. These medications were involved in 6 types of 25 kinds of drugs, and the selection of drug varieties was generally reasonable. There were 618 irrational medical orders, accounting for 15.60% of the total medication orders. Irrationally used drugs included traditional Chinese medicine injections and antibacterial drugs. The categories of irrational use were mainly inappropriate usage/dosage and inappropriate route of administration. Conclusion The use of drugs in children with acute bronchial pneumonia in our hospital was basically reasonable, but there were still a few irrational prescriptions. The use of antibacterial drugs and traditional Chinese medicine injections should be strengthened to improve the rational use.

Key words: children, acute bronchopneumonia, antibacterial drugs, rational use of drugs

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