氨甲环酸在重庆市4家三级甲等医院骨科住院患者中的应用分析
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篇名: 氨甲环酸在重庆市4家三级甲等医院骨科住院患者中的应用分析
TITLE: Application Analysis of Tranexamic Acid in the Orthopedic Inpatients from 4 Third-grade Class-A Hospitals in Chongqing
摘要: 目的:了解氨甲环酸在骨科住院患者中的应用现状及趋势,为临床合理用药提供参考。方法:对重庆市4家三级甲等医院骨科的3个亚科室(关节外科、脊柱外科、创伤骨科)2017-2020年氨甲环酸的使用量、氨甲环酸使用患者的骨科疾病种类分布以及氨甲环酸使用方法等数据进行分析。结果:4年期间骨科氨甲环酸总使用量逐年递增,增幅为6.2%~52.2%,各科室使用量亦逐年递增;2017-2019年关节外科使用量占比最大(分别为59.2%、53.5%、47.2%),2020年创伤骨科使用量占比最大(39.2%)。整体而言,氨甲环酸在不同种类骨科疾病患者中的使用量占比排前4位的依次为关节置换(25.5%~29.6%)、髋部骨折(19.3%~23.6%)、骨干骨折(13.5%~18.6%)以及骨盆髋臼骨折(8.2%~14.0%);各年度脊柱外科、关节外科以及创伤骨科的氨甲环酸使用方法始终以单纯静脉给药为主(占比分别为55.1%~81.0%、46.9%~77.1%、49.3%~73.3%、44.9%~71.5%)。结论:氨甲环酸在骨科住院患者中的使用量呈明显的逐年增长趋势,且以关节外科、创伤骨科使用为主导;其使用方法仍以单纯静脉给药为主,较为安全可靠。
ABSTRACT: OBJECTIVE:To investig ate the application and trend o f tranexamic acid in the orthopedic inpatient ,and to provide reference for rational drug use. METHODS :The consumption of tranexamic acid ,the distribution of orthopedics diseases using tranexamic acid and route of administration were analyzed in 3 sub-departments (joint surgery department ,spinal surgery department,orthopedic trauma department )from 4 third-grade class-A hospitals of Chongqing during 2017 to 2020. RESULTS : The total consumption of tranexamic acid used in orthopaedic department had increased year by year in the past 4 years,with increase of 6.2%-52.2%,and the consumption of tranexamic acid in various departments also increased year by year ;from 2017 to 􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂􀤂 书辅料标明情况及风险控制建议 [J].中国药师,2018,21 中华中医药杂志,2018,33(6):2225-2229. (18):2020-2022. [10] 孟菲,李学林.中成药说明书中规格项存在的问题与探 [ 7 ] 国家药典委员会.中华人民共和国药典:二部[S]. 2010年 讨[J].当代医学,2015,21(12):14-15. 版.北京:中国医药科技出版社,2010:1014. [11] 国家食品药品监督管理局 .中成药规格表述技术指导原 [ 8 ] 孟菲,李学林.中成药说明书中功能主治项表述方法的探 则:征求意见稿 [EB/OL].(2017-10-11)[2020-12-20]. 讨[J].中医药临床杂志,2015,27(1):111-112. https://www.nmpa.gov.cn/xxgk/zhqyj/zhqyjyp/20171011- [ 9 ] 田硕,郭晖,苗明三.中成药说明书完善的思考及实践[J]. 151401184.html. [12] 王裴芳.我国中成药说明书中老年人用药项的调查分 Δ基金项目:重庆市科技计划项目-技术预见与制度创新项目(No. 析[J].中国药房,2015,26(29):4055-4057. cstc2018jsyj-zdcxX0052);重庆市社会科学规划项目(No.2019QNGL31) [13] 林志健,周伟龙,张冰,等.中成药说明书中儿童用药信息 *硕士研究生 。研究方向 :社会医学 、卫生事业管理 。电话: 023-68485178。E-mail:351389583@qq.com 的修订完善思考 [J].药物流行病学杂志 ,2018,27(4): # 通信作者:教授,硕士生导师,硕士。研究方向:医事法学、卫生 244-248. 政策、卫生事业管理。电话:023-68485178。E-mail:puchuan68@sina. (收稿日期:2021-01-07 修回日期:2021-05-26) com (编辑:罗 瑞) ·1622· China Pharmacy 2021Vol. 32 No. 13 中国药房 2021年第32卷第13期 2019,joint surgery department accounted for the largest prop ortion(59.2% ,53.5% ,47.2%)to use tranexamic acid ,and orthopedic trauma department accounted for the largest proportion (39.2%)in 2020. On the whole ,top 4 orthopedic diseases in the list of the consumption of tranexamic acid were joint replacement (25.5%-29.6%),hip fracture (19.3%-23.6%),diaphysis fracture (13.5%-18.6%)and pelvic and acetabular fracture (8.2%-14.0%). The route of administration for tranexamic acid in spinal surgery department ,joint surgery department and orthopedic trauma department was mainly intravenous application every year (accounting for 55.1%-81.0%,46.9%-77.1%,49.3%-73.3%,44.9%-71.5%). CONCLUSIONS :The consumption of tranexamic acid in orthopedic inpatients is increased year by year ,and is dominated by joint surgery department and orthopedic trauma department. The route of tranexamic acid is still mainly intravenous administration ,which is safe and reliable.
期刊: 2021年第32卷第13期
作者: 赵婷,张维斌,唐艳,蒲川
AUTHORS: ZHAO Ting,ZHANG Weibin ,TANG Yan,PU Chuan
关键字: 氨甲环酸;骨科;亚科室;使用量;疾病种类;用法
KEYWORDS: Tranexamic;Orthopedic department ;Sub-department;Consumption;Disease types ;Route of administration
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