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目的通过调查分析我院患儿糖皮质激素用药现状,评价用药合理性,为患儿临床合理使用糖皮质激素提供参考与指导。方法对我院2013年9月~2014年2月住院患儿共940份病历进行回顾性调查,统计我院主要糖皮质激素(地塞米松、甲泼尼龙和布地奈德气雾剂)的用药情况。结果在940份病历中,使用糖皮质激素激素的病例有451份,使用率为57.5%,有104份0~1岁患儿病历使用糖皮质激素,使用率为23.1%;有258份1~4岁患儿病历使用糖皮质激素,使用率为57.2%;有82份5~12岁患儿病历使用糖皮质激素,使用率为18.2%;有7份12~18岁患儿病历使用糖皮质激素,使用率为1.55%。其中地塞米松的使用频率最高达80.5%,地塞米松平均用药时间为3.39d,明显高于3d冲击疗法的用药时间。结论我院儿童患者糖皮质激素使用上存在无指征用药、疗程不规范等问题,应予以重视。
Objective To investigate the status quo of glucocorticoid drug use in our hospital and evaluate the rationality of drug use in order to provide reference and guidance for the rational use of glucocorticoid in children. Methods A total of 940 medical records of hospitalized children from September 2013 to February 2014 in our hospital were retrospectively analyzed. The main corticosteroids (dexamethasone, methylprednisolone and budesonide aerosol) in our hospital were calculated. Happening. Results Among 940 medical records, 451 cases were used glucocorticoid hormones, the usage rate was 57.5%. There were 104 cases of children aged 0 ~ 1 years with medical records of glucocorticoid use rate of 23.1%; there were 258 cases of 1 ~ 4-year-old children with medical records of corticosteroids, the use rate was 57.2%; 82 cases of children aged 5 to 12 years with glucocorticoid medical records, the use rate was 18.2%; 7 12 to 18-year-old children with medical records of cortex Hormones, the usage rate is 1.55%. Dexamethasone used the highest frequency of 80.5%, dexamethasone average medication time was 3.39d, significantly higher than the impact of 3d impact therapy time. Conclusion There are no indications for the use of glucocorticoids in our hospital children, and the problems of non-standard course of treatment should be taken seriously.