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目的探讨本院临床糖皮质激素类药物的使用情况。方法抽取厦门市中医院2015年8月—2016年8月使用糖皮质激素类药物患者323例作为研究对象,回顾性分析患者的科室、病历号、年龄、性别、临床诊断及糖皮质激素类药物的名称、用法与用量、疗程等情况。结果在323例患者中,有7种药品10个品规,使用例次为371例,使用例次较多的分别为地塞米松磷酸钠注射液(48.52%)、醋酸泼尼松片(19.41%)、注射用甲泼尼龙琥珀酸钠(16.44%);117例存在不合理用药现象,不合理用药率达36.22%,不合理用药类型分别为适应证不适宜、用法与用量不适宜、遴选药品不适宜、药品剂型或给药途径不适宜、其他用药不适宜、有配伍禁忌。结论在临床用药过程中,存在不合理使用糖皮质激素类药物情况,为进一步促进临床合理用药,医院需加强监督管理。
Objective To investigate the clinical use of glucocorticoid in our hospital. Methods A total of 323 patients with glucocorticoid drug were enrolled in Xiamen Hospital of Traditional Chinese Medicine from August 2015 to August 2016. The clinical data, age, gender, clinical diagnosis and glucocorticoid drugs were retrospectively analyzed. The name, usage and dosage, treatment and so on. Results Among the 323 patients, there were 10 items of 7 drugs, 371 cases were used, and dexamethasone sodium phosphate injection (48.52%) and prednisone acetate tablets (19.41% %), Methylprednisolone sodium succinate (16.44%); 117 cases of irrational drug use, irrational drug use rate of 36.22%, irrational drug type indications were inappropriate, usage and dosage inappropriate, selection Inappropriate drugs, drug formulations or routes of administration inappropriate, other medication inappropriate, incompatible compatibility. Conclusion In the course of clinical medication, there are cases of irrational use of glucocorticoid drugs. In order to further promote the rational use of clinical medicine, hospitals should strengthen supervision and management.