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目的 调查焦作市第二人民医院注射用血栓通(冻干)的使用情况,为临床合理用药提供参考。方法 调取焦作市第二人民医院2016年1月—2017年12月使用注射用血栓通(冻干)的患者病例1 200份,并对患者的基本情况、用药目的、用法用量、用药疗程、联合用药等信息进行统计分析,评价其临床应用的合理性。结果 使用注射用血栓通(冻干)的患者中男性明显多于女性,用药科室主要为神经内科和心脏内科,构成比分别为27.33%、22.83%。用药原因主要为脑血管疾病(36.58%)和心血管疾病(24.33%)。用药疗程主要分布于≤7、8~15 d,构成比分别为33.92%、53.58%。联合用5、6种药物的患者最多,分别占23.67%、28.08%。不合理使用例数为220例,占总例数的18.33%,以使用疗程不适宜(49.09%)为主。结论 焦作市第二人民医院注射用血栓通(冻干)的应用科室或病种广泛,且存在不合理现象,应加强规范该药的使用管理,做好对患者的用药监测,提升其临床应用的合理性。
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[Abstract]
Objective To investigate the usage of Xueshuantong for injection (freeze-dried) in the Second People's Hospital of Jiaozuo, and provide reference for clinical rational use of drugs. Methods Data of patients (1 200 cases) using Xueshuantong for injection (freeze-dried) in the Second People's Hospital from January 2016 to December 2017 were analyzed retrospectively, including patient's general information, medication reasons, usage and dosage, course of treatment, and drug combination, and the rationality of clinical utilization was evaluated. Results Men using Xueshuantong for injection (freeze-dried) were more than women. The main departments were Department of Neurology and Department of Cardiology, accounting for 27.33% and 22.83%, respectively. The main medication reasons were cerebrovascular disease (36.58%) and cardiovascular disease (24.33%). The main course of treatment was less than 7 d and 8 - 15 d, with the constituent ratio of 33.92% and 53.58%, respectively. The patients using Xueshuantong for injection (freeze-dried) combined with 5 or 6 kinds of drugs accounted for 23.67% and 8.08%. The case of irrational drug use was 220 cases with the constituent ratio of 18.33%, and most of them were unsuitable course of treatment. Conclusion The usage of Xueshuantong for injection (freeze-dried) in departments and diseases is extensive in the Second People's Hospital of Jiaozuo, but there are some unreasonable uses.Therefore, the use management and monitoring of medications of patients should be strengthened, to promote the rationality of drug use.
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