中国药物警戒 ›› 2021, Vol. 18 ›› Issue (3): 256-259.
DOI: 10.19803/j.1672-8629.2021.03.10

• 安全与合理用药 • 上一篇    下一篇

我院门急诊手足口病临床用药分析

易丹, 罗圣平, 黄丽*   

  1. 株洲市中心医院,湖南 株洲 412007
  • 出版日期:2021-03-15 发布日期:2021-04-06
  • 通讯作者: *黄丽,女,硕士,副主任药师,临床药学与循证药学。E-mail: 379356549@qq.com
  • 作者简介:易丹,女,硕士,副主任药师,临床药学与药物临床试验研究。

Clinical Medication for Hand Foot Mouth Disease in a Hospital

YI Dan, LUO Shengping, HUANG Li*   

  1. Central Hospital of Zhuzhou, Zhuzhou Hunan 412007, China
  • Online:2021-03-15 Published:2021-04-06

摘要: 目的 分析我院门急诊手足口病患者用药合理性,为临床合理用药提供参考。方法 收集我院 2018 年1月1日~ 2018年12月31日门急诊诊断为手足口病患者的治疗药物处方,分析使用药物的合理性。结果 共收集1 508例手足口病患者的治疗药物处方。治疗药物包括抗病毒药物、抗菌药物、解热镇痛药、清热解毒类中成药等共69种,药物品种选择基本合理。其中不合理处方68张,占总处方数的4.51%。不合理处方类型以不规范处方为主。结论 我院手足口病患者在治疗期间药物的使用基本合理,但超说明书用药现象普遍,且存在一定不合理处方,应进一步加强手足口病治疗药物临床研究和处方管理,提高合理用药水平。

关键词: 手足口病, 用药分析, 合理用药

Abstract: Objective To analyze the rationality of use of drugs for patients with HFMD in our hospital, and to provide reference for clinical rational use of drugs. Methods The prescriptions for patients with HFMD diagnosed in the Department of Outpatients and Emergency Department of our hospital between January and December 2018 were collected, and the rationality of drugs used was analyzed. Results A total of 1 508 cases of HFMD were collected. There were 69 kinds of drugs used for treatment, including antiviral drugs, antibacterial drugs, antipyretic and analgesic drugs, and Chinese patent medicines for clearing heat and detoxification. The selection of drug varieties was basically appropriate. There were 68 problematic prescriptions, accounting for 4.51% of the total. Most of the improper prescriptions were sub-standard ones. Conclusion The use of drugs for HFMD in our hospital is basically well-grounded, but off-label instructions are common, and there are some defective prescriptions. The clinical research on and prescriptions for HFMD should be improved to promote rational drug use.

Key words: hand foot and mouth disease(HFMD), medication analysis, rational medication

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