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引用本文:李伟,郑丽丽,黄荳,罗琳,张玲.医院妊娠期妇女超说明书用药合理性分析[J].中国现代应用药学,2021,38(1):100-103.
LI Wei,ZHENG Lili,HUANG Dou,LUO Lin,ZHANG Ling.Rationality Analysis of Off-label Use of Gestation Period Women in Hospital[J].Chin J Mod Appl Pharm(中国现代应用药学),2021,38(1):100-103.
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医院妊娠期妇女超说明书用药合理性分析
李伟, 郑丽丽, 黄荳, 罗琳, 张玲
江西省妇幼保健院药剂科, 南昌 330006
摘要:
目的 对江西省妇幼保健院妊娠期妇女超说明书用药的合理性进行分析。方法 抽取医院产科2019年1月-6月门急诊处方和住院患者病历,根据药品说明书内容,对其中超说明书用药情况进行统计,并对超说明书用药合理性进行分析。结果 共抽取1 800张处方、432份病历,其中超说明书用药处方71张、病历32份,主要包括5种药物,其中3种使用较为合理,1种在特殊情况下使用合理,1种使用不合理。结论 对妊娠期妇女超说明书用药应谨慎,在有权威的临床资料证据的支持下才可超说明书用药。
关键词:  超说明书用药|妊娠期妇女|合理性|分析
DOI:10.13748/j.cnki.issn1007-7693.2021.01.016
分类号:R969.4
基金项目:江西省中医药科技计划项目(2019B126)
Rationality Analysis of Off-label Use of Gestation Period Women in Hospital
LI Wei, ZHENG Lili, HUANG Dou, LUO Lin, ZHANG Ling
Pharmacy Department of Jiangxi Maternal and Child Health Hospital, Nanchang 330006, China
Abstract:
OBJECTIVE To analyze the rationality of off-label use of gestation period women in Jiangxi Maternal and Child Health Hospital. METHODS The prescriptions and medical records(MRs) from Jan 2019 to Jun 2019 were selected in obstetrics ward. The off-label use was analyzed according to the package inserts, and the rationality of off-label medication was analyzed. RESULTS In the total of 1 800 prescriptions and 432 MRs, 71 of prescriptions and 32 of MRs were involved off-label use respectively. It mainly included five kinds of drugs, of which three were more reasonable to use, one was reasonable to use in special circumstances, and one was unreasonable to use. CONCLUSION For gestation period women, off-label use should be careful, the prescription should be used under the support of authoritative clinical data evidence.
Key words:  off-label use|gestation period women|rationality|analysis
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