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甲状腺手术围术期抗溃疡药使用分析
引用本文:张强,李健,彭冉,黎永娴. 甲状腺手术围术期抗溃疡药使用分析[J]. 药学实践杂志, 2016, 34(3): 271-274
作者姓名:张强  李健  彭冉  黎永娴
作者单位:广州军区广州总医院药剂科/广州市老年慢病患者合理用药重点实验室, 广东 广州 510010,,广州军区广州总医院药剂科/广州市老年慢病患者合理用药重点实验室, 广东 广州 510010,,广州军区广州总医院药剂科/广州市老年慢病患者合理用药重点实验室, 广东 广州 510010,,广东药学院临床药学专业2010级, 广东 广州 510006
基金项目:广州市科技计划项目(201509010012)
摘    要:
目的 调查甲状腺手术围术期预防性使用抗溃疡药情况。方法 回顾性分析我院2013年1月至12月393例甲状腺手术患者围术期抗溃疡药使用情况,用Excel对数据进行分类统计。结果 我院甲状腺手术围术期抗溃疡药使用率为21.6%,给药时机以术后给药(92.9%)为主,给药途径以静脉滴注(94.9%)为主,药物利用指数为1.41。其中质子泵抑制剂使用率为100%,品种以兰索拉唑(87.1%)为主。结论 甲状腺手术围术期存在过度使用抗溃疡药现象。

关 键 词:甲状腺手术  抗溃疡药  应激性溃疡  药物利用指数
收稿时间:2015-04-10
修稿时间:2015-11-02

Analysis of anti-ulcerative drug use in patients undergoing thyroid operation during perioperative period
ZHANG Qiang,LI Jian,PENG Ran and LI Yongxian. Analysis of anti-ulcerative drug use in patients undergoing thyroid operation during perioperative period[J]. The Journal of Pharmaceutical Practice, 2016, 34(3): 271-274
Authors:ZHANG Qiang  LI Jian  PENG Ran  LI Yongxian
Affiliation:Guangzhou General Hospital of Guangzhou Military Command/Guangzhou Key Laboratory of Rational Drug Use for the Elderly with Chronic Disease, Guangzhou 510010, China,Guangzhou General Hospital of Guangzhou Military Command/Guangzhou Key Laboratory of Rational Drug Use for the Elderly with Chronic Disease, Guangzhou 510010, China,Guangzhou General Hospital of Guangzhou Military Command/Guangzhou Key Laboratory of Rational Drug Use for the Elderly with Chronic Disease, Guangzhou 510010, China and Guangdong Pharmaceutical University, Guangzhou 510006, China
Abstract:
Objective To investigate anti-ulcerative drug (AUD) utility in patients undergoing thyroid operation against stress ulcer (SU) during perioperative period. Methods A total of 393 patients undergoing arthroscopic operation during Jan. to Dec. 2013 in our hospital were recruited and retrospectively analyzed with Excel spreadsheet. Results Among 393 patients in the study, eighty-five patients (21.6%) used AUD (92.9%)after operation, most (94.9%) were administered by intravenous, and drug utilization index(DUI) was 1.48. Eighty-seven point one patients used proton pump inhibitors (PPIs) in which lansoprazole was prescribed most. Conclusion PPIs were overused in patients undergoing thyroid operation.
Keywords:thyroid operation  AUD  SU  DUI
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