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篇名: | 我院多囊卵巢综合征药物处方分析 |
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摘要: | 目的:为多囊卵巢综合征治疗药物的合理使用提供参考。方法:统计我院2013 年1-12 月多囊卵巢综合征治疗药物的 销售金额和用药频度(DDDs)等,并进行排序,依据相应规范和药品说明书等资料分析处方合理性。结果:多囊卵巢综合征处方 共1 551 张,涉及76 种药物,总销售金额为181 072.90 元;药品种类以激素相关药物(处方频次占比81.37%,销售金额占比 73.51%)和中成药(处方频次占比15.41%,销售金额占比19.43%)为主。激素相关药物DDDs排名前5 位的是炔雌醇环丙孕酮片、 盐酸二甲双胍肠溶片、黄体酮胶丸、地屈孕酮片和黄体酮软胶囊;中成药DDDs排名前5 位的是坤泰胶囊、右归胶囊、还少胶囊、加 味逍遥胶囊和女金胶囊。处方中单药使用率为72.08%;不合理用药处方比例为1.69%。结论:我院多囊卵巢综合征用药总体合 理。个别处方存在不合理情况,主要表现在临床诊断不全和用法用量不合理,药师需加强对处方的审查与干预。 |
ABSTRACT: | OBJECTIVE:To provide reference for rational use of polycystic ovary syndrome(PCOS)drugs. METHODS:The utilization of PCOS drugs in our hospital during Jan.-Dec. 2013 were analyzed in respects of consumption sum,DDDs,sorting and so on. The rationality of prescription was analyzed according to guidelines and drug package inserts and so on. RESULTS:There were 1 551 prescriptions,involving 76 kinds of drugs,and their total consumption sum was 181 072.90 yuan. Main types of drugs were hormone related drugs(accounting for 81.37% of prescription frequency,73.51% of consumption sum)and Chinese patent medicine (accounting for 15.41% of prescription frequency,19.43% of consumption sum). Top 5 hormone drugs in the list of DDDs were Ethinylestradiol and Cyproterone acetate tablets,Metformin hydrochloride enteric-coated tablets,Progesterone soft capsule, Dydrogesterone tablets and Progesterone soft capsules. Top 5 Chinese patent medicines in the list of DDDs were Kuntai capsule, Yougui capsule,Huanshao capsule,Jiawei xiaoyao capsule and Nvjin capsule. Single drug accounted for 72.08% in prescription. The proportion of irrational drug use was 1.69%. CONCLUSIONS:The application of drug in patients with PCOS is reasonable generally. Some prescriptions are unreasonable,mainly manifesting as incomplete clinical diagnosis,irrational usage and dosage. Pharmacists should strengthen prescription verification and intervention. |
期刊: | 2015年第26卷第35期 |
作者: | 陈燕妮,王俐,沈嵘 |
AUTHORS: | CHEN Yan-ni,WANG Li,SHEN Rong |
关键字: | 多囊卵巢综合征;药物利用;用药频度;销售金额;合理用药;处方分析 |
KEYWORDS: | Polycystic ovary syndrome;Drug utilization;DDDs;Consumption sum;Rational drug use;Analysis of prescriptions |
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