目的：了解儿科辅助用药应用情况，为儿科辅助用药合理性评价、分析和管理提供依据。方法：对德州市人民医院（以下简称“我院”）2015年1—12月儿科住院患者辅助用药情况进行分析，通过Excel 软件进行数据处理，评价用药的合理性。结果：2015年1—12月，儿科住院患者共3890例，共使用辅助用药10538频次，维生素类药物应用频次数最多，为984次（占49．6％）；不合理用药频次为1732次，其中超年龄用药984次（占56．8％），居不合理用药的首位，中药注射剂不合理应用频次数最多（1311频次，占75．7％）。结论：儿科存在辅助用药联合应用情况，维生素类、中药注射剂、肠外营养类药物不合理应用频次数排序居前3位，应重点管控；临床应加强对超年龄用药的监控，促进儿科合理用药。%OBJECTIVE:To investigate the application of adjuvant drugs in 3 890 pediatric inpatients , so as to provide reference for the rationality evaluation , analysis and management of application of adjuvant drugs .METHODS:Analysis was conducted on application of adjuvant drugs in pediatric inpatients in Dezhou People ’s Hospital ( hereinafter referred to as “our hospital”) from Jan.to Dec.2015.Application rationality was evaluated through EXCEL software . RESULTS:From Jan.to Dec.2015, there were 3 890 pediatric inpatients , with the application frequency of adjuvant drugs of 10 538;and vitamins took the lead , totally 984 cases(49.6%);the irrational application frequency was 1 732, among which 984 cases (56.8%) were over-age administration , dominated the first place of irrational drug application . And the irrational application frequency of Traditional Chinese Medicine injections was the most (1 311 cases, 75.7%). CONCLUSIONS:There are phenomenon as adjuvant drugs with drug combination in pediatrics of our hospital , the top three drugs ranked by irrational application frequency are respectively vitamins , traditional Chinese medicine injections and parenteral nutrition drugs , which need to be strictly monitored .The clinic should strengthen the monitoring on over-age administration , so as to promote the rational application of drugs in pediatrics .
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