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目的探讨非ICU患者预防性使用注射用奥美拉唑的合理性。方法回顾性收集宁波第二医院2014年2月出院并预防性使用注射用奥美拉唑的病历(ICU除外)中的数据,根据标准判断其合理性。结果 273份病历中使用合理的是56份(占20.5%),不合理的是217份(占79.5%),不合理的情形前3位依次是无预防用药指征、初始用药推荐选择口服剂型、疗程过长。结论医院管理部门宜建立相应标准,对临床加强教育宣导与干预,以改善注射用奥美拉唑预防性不合理使用的现状。
Objective To investigate the rationality of prophylactic use of omeprazole in non-ICU patients. Methods The data collected from Ningbo Second Hospital in February 2014 for preventive use of omeprazole for injection (excluding ICU) were retrospectively collected and judged to be reasonable according to the criteria. Results Of the 273 cases, 56 cases (20.5%) were reasonable and 217 cases (79.5%) were unreasonable. The first three cases of unreasonable cases were followed by non-prophylaxis indications. The initial choice of oral dosage forms , Treatment is too long. Conclusion The hospital management department should set up appropriate standards to strengthen the clinical education advocacy and intervention in order to improve the status quo of the preventive use of omeprazole for injection.