殷　勤，盛雪鹤(皖南医学院第二附属医院药剂科，安徽 芜湖　241000)



2008年和2013年皖南医学院第二附属医院临床用药变化情况分析

殷勤*，盛雪鹤(皖南医学院第二附属医院药剂科，安徽 芜湖241000)

DOI10.14009/j.issn.1672-2124.2016.02.029

摘要目的：通过对比2008年和2013年皖南医学院第二附属医院(以下简称“我院”)销售金额前50位和使用强度前50位的药品，探讨我院用药变化情况及其趋势，为我院药剂科制定下一步的工作重点提供依据。方法：通过医院信息系统查出我院2008年和2013年2年销售金额排名前50位的药品并计算出使用强度前50位的药品，对结果进行统计、分析。结果：我院近几年药品使用量快速增长，其中循环系统用药、神经系统用药及消化系统用药增长迅速，而抗菌药物使用量却在下降。我院口服剂型药品和中成药的使用量正逐渐增加，基本药物使用量正在下降。结论：通过对2008年和2013年我院用药变化的特点进行分析，可发现医院合理用药中存在一些问题，明确药剂科下一步的工作重点。

关键词用药变化； 用药分析； 用药频度

Analysis on Clinical Drug Use Changes in 2008 and 2013 in the Second Affiliated Hospital of Wannan Medical College

YIN Qin, SHENG Xuehe(Dept.of Pharmacy, the Second Affiliated Hospital of Wannan Medical College, Anhui Wuhu 241000, China)

ABSTRACTOBJECTIVE：To probe into the drug use changes and trends through comparing the top 50 drugs ranked by consumption sum and use intensity in the Second Affiliated Hospital of Wannan Medical College(hereinafter referred to as “our hospital”), and then to provide reference for the further key point of work for pharmacy department. METHODS: The data of top 50 drugs ranked by consumption sum and use intensity in 2008 and 2013 were collected from HIS system, the results were statistically analyzed. RESULTS: The drug use amount in our hospital were in a rapid growth in recent years, the main categories were circulation system drugs, nervous system drugs and digestive system drugs, but antimicrobial drugs were in decrease trend. Meanwhile, the use amount of oral dosage drug and Chinese patent medicine were growing, and the amount of national essential medicines were decreasing. CONCLUSIONS: Problems of rational drug use in our hospital are found out and the further key point of work is clear-cut through the analysis of characteristics in drug use changes in 2008 and 2013.

KEYWORDSDrug use changes; Analysis; DDDs

药物这一特殊商品在临床的使用中受到多种因素的影响，具体到各个医院临床用药特点更是千差万别，其中存在合理因素，同样存在不合理因素。对所在医院的用药进行分析并将不同年份的用药趋势特点进行分析对该院的药品使用十分重要。因此笔者将皖南医学院第二附属医院(以下简称“我院”)2008年和2013年药品销售金额前50位及用药频度(defined daily dose system,DDDs)前50位的药品进行分析，从中不仅可以看到药品使用是否合理，还可以对医院药剂科下一步的工作重点提供依据。……