【摘要】 目的:评价剖宫产患者药物利用的合理性。方法:采用回顾性方法,对我院2006年6月~2007年5月513例剖宫产患者的用药情况进行统计、分析。结果:我院剖宫产患者药品销售金额排序列前2位的是抗菌药物和麻醉药(及辅助药),分别占药品总销售金额的52.21%和17.08%。按抗菌药物销售金额排序列前2位的是注射用盐酸头孢替安和注射用头孢呋辛钠,分别占30.85%和24.47%。部分抗菌药物的药物利用指数(DUI)偏大,DUI<1的有4种,DUI=1的有4种,DUI>1的有6种,而且DUI>1的品种DDDs均较大,也就是应用量较多。结论:我院抗菌药物应用在剖宫产患者中所占比例较高,品种选择合理,但部分抗菌药物剂量偏大,应引起重视。更多还原

【Abstract】 OBJECTIVE: To evaluate the rationality of drug use in patients undergoing uterine-incision delivery.METHODS: By a retrospective study,a total of 513 patients who had uterine-incision delivery in our hospital from June 2006 to May 2007 were analyzed statistically.RESULTS: Of the total drugs used,antimicrobial drugs and narcotics(including adjunctive drugs) ranked at the first 2 places in terms of consumption sum,accounting for 52.21% and 17.08%,respectively.Of all the antimicrobial drugs,Cefotiam Hydrochloride Sterilized Powder and Cefuroxime Sodium for Injection Sterilized Powder dominated the first two places,accounting for 30.85% and 24.47%,respectively.Some antimicrobial drugs had a high DUI value;DUI<1 was found in 4 kinds;DUI=1 was found in 4 kinds,and DUI>1 in 6 kinds;moreover,the kinds with DUI>1 were also high in DDDs(i.e.high dosage).CONCLUSION: The patients undergoing uterine-incision delivery had a high proportion in using antimicrobial drugs yet the choice of drug kinds was reasonable.However,great attention should be paid to the high dosage of some of the antimicrobial drugs.更多还原