2008—2010年解放军总医院药物应用分析

目的:分析解放军总医院近3年用药现状及发展趋势,为临床用药提供参考依据。方法:利用军卫一号系统调取我院2008—2010年药品入库信息,对各大类药品进行统计分析,并按照剂型分别统计、汇总和分析前10位药品的使用情况。结果:我院总销售金额呈逐年上升趋势,抗肿瘤药、抗菌药物及中成药销售金额排序始终居前3位,口服抗肿瘤药中分子靶向类药物销售金额较大。广谱抗菌药物注射剂应用逐年下降,逐渐转变为以第2、3代头孢菌素及青霉素类抗菌药物注射剂为主;中成药近3年增长较快,尤其是中药注射剂品种及金额逐年增加,以抗肿瘤及心血管用药为主。结论:用药品种构成比相对较稳定,分子靶向类抗肿瘤药有广阔发展前景;《解放军总医院抗菌药物管理规定》的实施有效地遏制了临床抗菌药物不合理应用。

Analysis on Drug Use in PLA General Hospital During 2008-2010

OBJECTIVE: To analyze the current situation and developing trend of the drug use in PLA General Hospital during 2008-2010 period in order to provide reference for clinical rational use of drugs.METHODS: The utilization data of drugs in different categories in our hospital during 2008-2010 period were retrieved by using No.1 Military Medical Project and analyzed statistically,and the utilization of top 10 drugs categorized by different dosage forms were analyzed as well.RESULTS: The drug consumption sum in our hospital increased year by year during 2008-2010 period,with antineoplastic agents,antibiotics and Chinese patent drugs topping the list stably,and among all the oral antineoplastics used,molecular-targeted drugs took a larger proportion in consumption sum.The consumption of broad-spectrum antibiotics injection was decreasing year by year,which has gradually given way to that of the second and third generations of cephalosporins and penicillins.The Chinese patent drugs witnessed a rapid increase over the 3 years,especially the Chinese medicine injections which increased year by year in the number of varieties and consumption sum,predominantly the antineoplastics and cardiovascular drugs.CONCLUSION: The constituent ratio of drug varieties in our hospital was stable and the molecular-targeted antineoplastics drugs enjoy a bright future.The practice of PLA General Hospital’s Rule on Antibiotic Use has effectively inhibited the irrational use of antibiotics.