2015—2017年天津市津南区咸水沽医院抗脑血管病药的使用情况分析

目的调查分析2015—2017年天津市津南区咸水沽医院抗脑血管病药物的应用情况及趋势,为抗脑血管病药物的科学管理和合理应用提供参考。方法采用数据回顾性方法,对天津市津南区咸水沽医院抗脑血管病药物的用药总金额、用药总数量及构成比、限定日计量(DDD)值、用药频度(DDDs)及日均费用(DDC)等数据进行统计与分析。结果共有26种抗脑血管病药,口服剂型和注射剂型抗脑血管病药物的销售金额逐年上升,2015—2017年,口服水解蛋白、胞磷胆碱钠片和奥拉西坦胶囊的销售金额排名始终排名前3位,注射用小牛血去蛋白提取物的销售金额排名始终保持在前两位。2017年银杏叶提取物注射液的销售金额排名居首位。胞磷胆碱钠片的DDC排名始终排名前3位。注射用七叶皂苷钠(10mg)的DDDs排名稳居首位,注射用小牛血去蛋白提取物的DDDs排名均排名前3位。大部分口服抗脑血管病药的DDC均低于50,大部分注射用抗脑血管病药的DDC值均低于200。结论天津市津南区咸水沽医院抗脑血管病药的管理比较规范,药物使用大致合理。

Analysis on usage of anti-cerebral vascular disease drugs in Jinnan Xianshuigu Hospital of Tianjin City from 2015 to 2017

Objective To investigate and analyze the application and trend of anti-cerebral vascular disease drugs in Jinnan Xianshuigu Hospital of Tianjin City from 2015 to 2017, and provide reference for the scientific management and rational application of anti-cerebral vascular disease drugs. Methods Data retrospective method was used to calculate the total amount of anti-cerebrovascular drugs, total dose and composition ratio, limited daily dose (DDD) value, medication frequency (DDDs), and daily average cost (DDC). Results There were 26 anti-cerebral vascular drugs. The sales amount of oral and injectable anti-cerebral vascular drugs increased year by year. From 2015 to 2017, sales amount of Oral Protein Hydrolysate, Citicoline Sodium Tablets and Oxiracetam Capsules were always ranked in the top three, and sales amount of Deproteinated Extract of Calf Blood for injection was always in the top two. In 2017, sales amount of Extract of Ginkgo Biloba Leaves Injection ranked the first. The DDC ranking of Citicoline Sodium Tablets had consistently ranked in the top three. DDDs of Sodium Aescinate for injection (10 mg) ranked the first, and DDDs of Deproteinated Extract of Calf Blood for injection ranked the top three. DDC of most oral anti-cerebral vascular drugs was less than 50, and DDC value of most injectable anti-cerebrovascular drugs was less than 200.Conclusion The management of anti-cerebral vascular drugs in Jinnan Xianshuigu Hospital of Tianjin City is relatively standardized, and the use of drugs is generally reasonable.