我院2002-2004年肾移植患者住院用药情况分析

目的：分析我院肾移植手术患者住院期间的用药情况及变化趋势，促进临床合理用药。方法：查阅我院2002～2004年肾移植患者的住院病历及相关资料，对住院期间用药情况进行分析，以用药金额排序法和限定日剂量法对用药情况进行评估。结果：我院2002～2004年肾移植患者均次总药费、日均药费、用药总金额呈逐年上升趋势。金额排序前20位药品主要为抗排斥药、抗感染药、胃肠溃疡治疗药及抗栓塞药等，各类药物DUI≤1。结论：我院肾移植患者用药情况基本合理，但也存在如抗感染药起点高，费用大等不合理现象。

Drug utilization analysis of renal transplant inpatients during 2002 ～2004 in our hospital

Objective:To analyze the situation and trend of the drug utilization of renal transplant inpatients in our hospital,and promote rational drug use.Methods:the records and relevant data of renal transplant inpatients during 2002-2004 were collected, and analyzed according to drug cost and defined daily dose (DDDs)ranking.Results:Total drug cost per case,daily drug cost per patient and total drug cost were increasing during 2002-2004.The top 20 drugs of cost ranking were mainly immunosuppressant,anti bacterials,anti-ulcer and anti-embolism drugs,and the DUIs were not more than 1.Conclusion:It shows that the drug utilization of renal transplant inpatients is basically rational,however something unreasonable should not be ignored,for instance,too expensive and much more antibacterials used.