目的 分析天津市红桥医院糖皮质激素类药物的使用情况,为临床管理和合理用药提供参考。方法 对2014年天津市红桥医院糖皮质激素类药物的应用科室、使用量、给药途径、用药频度(DDDs)及药物利用指数(DUI)进行统计分析。结果 2014年糖皮质激素类药物使用率最高的科室为普通内科,使用率为43.55%;使用量最大的为注射用氢化可的松琥珀酸钠;给药途径主要为静脉、肌注,使用率为88.23%;全身性糖皮质激素的DUI值均小于1。结论 天津市红桥医院糖皮质激素类药物的临床应用基本合理,但仍存在一些不合理情况,还需进一步加强管理。

Objective To analyze the usage of glucocorticoids in Tianjin Hongqiao Hospital, so as to provide references for clinical management and rational drug use. Methods Department, amount of usage, administration route, frequency of drug use (DDDs), and drug utilization index (DUI) of glucocorticoids in Tianjin Hongqiao Hospital in 2014 were analyzed statistically. Results The department with highest utilization rate (43.55%) of glucocorticoids in Tianjin Hongqiao Hospital in 2014 was Department of General Internal Medicine. The glucocorticoid with highest amount of usage was Hydrocortisone Sodium Succinate for Injectionn. The main administration route was iv or im injection, and the utilization rate was 88.23%. DUI of systemic glucocorticoids were all less than 1. Conclusion The clinical application of glucocorticoids in Tianjin Hongqiao Hospital is basically rational, but there are still some problems, which need further efforts to strengthen the management.