论文部分内容阅读
目的:统计分析平湖地区门诊痛风患者处方用药情况,针对存在的问题,提出相应的应对策略。方法:抽查平湖地区所有医院门诊患者电子处方,对第一诊断为痛风及与痛风有关的处方进行处方张数、姓名、性别、年龄、诊断、就诊科室、医生和用药情况的导出,并对用药情况进行整理归类和审核,最后统计分析。结果:平湖地区第一诊断为痛风及与痛风有关的处方,抗菌药物使用率高达59.23%,静脉用药使用率55.15%,糖皮质激素使用率60.76%,糖皮质激素注射剂处方占糖皮质激素处方总数的92.29%,质子泵抑制剂注射液占胃黏膜保护药的28.07%。结论:针对平湖地区痛风患者处方用药中存在的无适应症使用抗菌药物、静脉用药使用率高、糖皮质激素和质子泵抑制剂注射剂使用率高等不合理情况,对医生进行痛风病的药物治疗培训,对患者进行用药宣教,对痛风病处方进行逐月点评和跟进干预。
OBJECTIVE: To analyze and analyze prescription medication in outpatient gout patients in Pinghu area, and put forward corresponding coping strategies according to the existing problems. Methods: The electronic prescriptions of all the outpatients in Pinghu district were randomly selected. The number of prescriptions, names, sexes, ages, diagnosis, treatment departments, doctors and medication for the first diagnosis of gout and gout-related prescriptions were derived. Sorting and reviewing the situation, the final statistical analysis. Results: The first diagnosis of gout and gout-related prescriptions in Pinghu was 59.23% antibacterials, 55.15% intravenous drugs and 60.76% glucocorticoid. The prescription of glucocorticosteroid accounted for the total prescription of glucocorticoid Of 92.29%, proton pump inhibitor injection accounted for 28.07% of gastric mucosal protective drugs. Conclusions: According to the non-indications of gout in gout patients in Pinghu, the use of antimicrobial agents, the high rate of intravenous drug use, the unreasonable use of glucocorticoid and proton pump inhibitor injections, and the training of doctors on gout drug treatment , The patient medication medication, gout reviews on a monthly basis and follow-up intervention.