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中文摘要: 目的 分析天水市某医院城镇职工、居民特殊病种门诊药物使用情况,为该市特殊病种门诊管理提供参考。方法 随机抽取该院2014—2016年特殊病种门诊处方6 570张,对口服药物销售金额排序前10位的品种、规格、数量、用药频度(DDDS)及临床诊断等方面进行分析。结果 患者口服西药以心脑血管系统及内分泌系统为主,口服中成药以活血化瘀类、益气养阴类和补脾温肾类为主。3年来,连续占据西药DDDS排序前3位的是二甲双胍缓释片和阿斯匹林肠溶片,稳居中成药DDDS排名前2位的是脑心通胶囊和消栓通络胶囊;患者病种分布居前的包括高血压、糖尿病、脑梗死和冠心病等,以心脑血管、内分泌系统疾病为主,且好发于50~70岁人群。结论 该院特殊病种门诊药物使用能够做到中西药并重,药物使用基本合理。医院管理方面应关注特殊病种门诊疾病谱的变化,以促进药物有效、经济及合理使用。
Abstract:OBJECTIVE To analyze the drug administration of urban workers and residents from Outpatient of Special Diseases in our hospital so as to provide some reference for the outpatient management of special diseases in our city. METHODS Totally 6 570 prescriptions from Outpatient of Special Diseases were randomly collected from 2014 to 2016. The relevant information of the first ten oral drugs according to the sales amount, such as types, specifications, amount, frequency of drug use (DDDS), clinical diagnosis, etc., were analyzed. RESULTS The oral drugs were mainly used to treat cardiocerebral vascular and endocrine system diseases, and the Chinese patent drugs primarily had the functions of activating blood to remove blood stasis, tonifying qi and nourishing yin as well as tonifying spleen and warning kidney. In three years, the continuous first three drugs according to DDDS included Metformin Extended-Release Tablets and Aspirin, whereas the first two Chinese patient drugs were Naoxintong Capsule and Xiaoshuantongluo Capsule; the commonly-encountered diseases were cardiocerebral vascular and endocrine system diseases, including hypertension, diabetes mellitus, cerebral infarction, coronary heart disease, etc., which frequently occurred in people at the age of 50~70. CONCLUSION Chinese and Western medicine can be applied in Outpatient of Special Diseases in our hospital, and the use of drugs is basically reasonable. Hospital management should pay attention to the change of disease spectrum in Outpatients with special diseases so as to promote the effective, economical and rational use of drugs.
keywords: Outpatient of Special Diseases Western medicine Chinese patent medicine frequency of drug use
文章编号:3201711004 中图分类号:R185 文献标志码:
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