骨科临床静脉药物治疗情况调研

Investigation and study of clinical intravenous drug therapy in orthopedics department

  • 摘要:
      目的  调查及初步分析南京大学医学院附属鼓楼医院骨科静脉药物治疗情况。
      方法  随机抽取2018年8月骨科出院的156例患者为研究对象,记录住院期间静脉药物治疗和使用情况。
      结果  住院期间接受静脉给药的患者占88.46%,静脉给药时间与住院时间的比值为7:16,平均静脉给药种类为(8.40±4.30)种/d。骨科使用率较高的静脉药物主要有抗菌药物(48.08%)、质子泵抑制剂(72.44%)、镇痛剂(80.13%)、辅助用药(78.21%)、晶体/胶体液(44.20%),同时使用5种药物的患者40例(占比25.64%)。
      结论  南京大学医学院附属鼓楼医院骨科静脉给药率高、疗程长,患者住院过程中至少一半时间都在进行静脉给药治疗,且静脉给药种类过多。

     

    Abstract:
      Objective  To investigate and preliminarily analyze intravenous drug therapy in department of orthopedics of Drum Tower Hospital Affiliated to School of Medicine of Nanjing University.
      Methods  A total of 156 patients who were discharged from the department of orthopedics in August 2018 were randomly selected as research objects. The conditions of intravenous drug treatment and usage during hospitalization were recorded.
      Results  The proportion of patients receiving intravenous administration during hospitalization was 88.46%, the ratio of intravenous administration time to hospital stay was 7:16, and the average types of average intravenous administration of drugs were (8.40±4.30) types per day. Intravenous drugs with the high utilization rates in the orthopedic department were antibiotics (48.08%), proton pump inhibitors (72.44%), analgesics (80.13%), adjuvant drugs (78.21%), crystal/colloid solution (44.20%), and 40 patients (25.64%) used 5 drugs simultaneously.
      Conclusion  Department of Pharmacy of Drum Tower Hospital Affiliated to School of Medicine of Nanjing University has a high rate of intravenous administration and a long course of treatment. Patients are treated with intravenous administration at least half of the time during hospitalization, and are given excess drugs by intravenous administration.

     

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