2015年西安市中心医院转化糖制剂用药分析

目的：调查分析西安市中心医院2015年转化糖制剂的使用情况，建立转化糖制剂专项点评标准，并对转化糖制剂医嘱进行用药合理性评价。方法随机抽取西安市中心医院2015年7—12月25%的转化糖制剂医嘱共792例，从适应症、用法用量、配伍及联合用药等方面评价其用药合理性。结果27个临床科室中12个使用了转化糖制剂，涉及转化糖电解质注射液、10%转化糖注射液和注射用转化糖3个品种；其中7个临床科室存在用药不合理现象，不合理率56.06%，主要表现为：适应症不适宜（65例）、用法用量不适宜（69例）、存在配伍禁忌（409例）和重复用药（95例）。结论转化糖制剂在临床应用中的不合理现象较为突出，亟待医院制定相应的管理制度来促进该类药物的合理使用。

Analysis of carbohydrate products in Xi'an Central Hospital in 2015

Objective To investigate and analyze the usage of carbohydrate products in Xi''an Central Hospital in 2015, in order to establish evaluation criterion of carbohydrate products and analyze rationality of drug use of carbohydrate products. Methods Doctor advices (792 cases) accounted for 25% of the medical records containing carbohydrate products in Xi''an Central Hospital from July to December in 2015 were randomly chosen. Then, the rationality of these drugs was evaluated in terms of indications, usage and dosage, compatibility, combined medication. Results Carbohydrate products were used in 12 departments in 27 inpatient departments, Carbohydrate products, such as invert sugar and electrolytes injection, 10% invert sugar injection, and invert sugar for injection were studied. Irrational-drug use still existed in seven departments and the total rate of irrational-drug use was 56.06%. The major problems were inappropriate indications (65 cases), improper usage and dosage (69 cases), incompatibility takes (409 cases), and repeated drug use (95 cases). Conclusion Irrational use of carbohydrate products is an outstanding problem, and it needs to further strengthen the standardized use and rational use of carbohydrate products in hospital.