急诊静脉输液处方用药合理性分析

摘要

Objective To analyze the rational use of emergency intravenous infusion prescriptions.Methods A retrospective survey was conducted on 4 344 emergency prescriptions selected from the First Hospital of Jilin University on the 1st days from January to June in 2017,including 3 568 prescriptions of intravenous infusion.The rationality of medication was evaluated.Results Emergency intravenous infusion prescriptions accounted for 82.14％ among the total 4 344 prescriptions.Emergency pediatric intravenous infusion rate was the highest,accounting for 50.94％ (2 213/4 344).Antibacterials were the most used drugs,followed by vidarabine monophosphate for injection (antivirotic drug).Irrational drug use was mainly caused by prescriptions based on symptom diagnosis,accounting for 35.37％ (1 262/3 568).Conclusion Emergency intravenous infusion prescribed according to symptom diagnosis and wild application of antibiotics are irrational drug use phenomena;pharmacists should strengthen management of intravenous infusion prescriptions to cnsurc rational and safe use of drugs.%目的 对急诊静脉输液处方用药进行统计,分析其合理性,促进临床合理应用静脉输液用药,保障患者用药安全.方法 采用回顾性调查方法,抽取吉林大学第一医院2017年1-6月每月第1天急诊处方共4 344张,筛选出静脉输液处方3 568张,对筛选出的静脉输液处方用药情况进行统计及分析,评价其用药合理性.结果 急诊静脉输液处方数占急诊处方数的82.14％(3 568/4 344),急诊儿科静脉输液处方数最多,占50.94％(2 213/4 344).急诊静脉输液药物中抗菌药物应用最多,其次为抗病毒药注射用单磷酸阿糖腺苷,主要不合理用药情况为依据症状诊断给药,占静脉输液处方数的35.37％(1 262/3 568).结论 我院急诊静脉输液用药依据症状诊断给药及应用抗菌药物情况较多,存在不合理情况,药师需加强对静脉输液用药的干预,保障患者合理、安全用药.