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目的分析消化内科常见不合理用药情况。方法选取2013年1月-2014年12月医院消化内科收治的患者968例,分析患者临床用药情况,对常见的不合理用药情况进行总结。结果 968例患者中不合理用药92例,占所有消化内科患者的9.50%。2013年不合理用药63例(68.5%);2014年不合理用药29例(31.5%)。消化内科不合理用药例情况有4种类型,主要为药物使用量大、重复用药、联合用药不合理、药物联用不良反应增强。其中药物使用量大37例(40.2%);重复用药23例(25.0%);联合用药不合理20例(21.7%);药物联用不良反应增强12例(13.0%)。结论消化内科是医院各科室中较大的科室之一,合理使用药物能够保证患者得到良好的治疗,关系到患者的切身利益,因此,医师要加强职业道德和专业知识的学习,掌握科室用药的药理和药物之间的相互作用,提高临床用药的合理性。
Objective To analyze the common irrational use of drugs in gastroenterology. Methods A total of 968 patients admitted from January 2013 to December 2014 in the Department of Gastroenterology of the Chinese People’s Liberation Army were enrolled in this study. Clinical drug use was analyzed and the common irrational drug use was summarized. Results Among 968 patients, 92 cases were irrational, accounting for 9.50% of all digestive diseases. In 2013, 63 cases were irrational (68.5%); in 2014, 29 cases (31.5%) were irrational. Irrational Gastroenterology There are four types of cases of drug use cases, mainly for large drug use, repeated medication, combination medication unreasonable, drug combination adverse reactions increased. Among them, 37 cases (40.2%) were used in large quantities; 23 cases (25.0%) were used repeatedly; 20 cases (21.7%) were unresponsive to combination therapy; 12 cases (13.0%) had adverse drug reactions. Conclusions Gastroenterology is one of the larger departments in various departments of the hospital. The rational use of drugs can ensure that the patients get good treatment and relate to the vital interests of patients. Therefore, physicians should enhance their professional ethics and professional knowledge to master departmental medicine Pharmacology and drug interactions, improve the rationality of clinical medication.