某院儿科门诊超说明书用药情况调查.PDFVIP

国药物警戒第14 卷第9 期 2017 年9 月 September, 2017, Vol.14, No.9 ： ： ： 中图分类号 R965 文献标识码 A 文章编号 1672-8629（2017 ）09-0562-04 某院儿科门诊超说明书用药情况调查 * ，江苏 夏兰 沈夕坤 缪洁 （苏州市中医医院 苏州215009 ） 摘要：目的了解我院儿科门诊超说明书用药情况，为安全合理用药提供基础数据。方法 回顾性地调查2015 年 9 月 至2016 年 8 月儿科门诊处方 100 / 月，对年龄、体重、临床诊断和用药情况进行统计与分析。结果1 200 儿科处 方中，共有用药记录2 836 条，其中有 594 超说明书处方，涉及874 条用药记录，超说明书用药的处方和用药记录 发生率分别为49.50 和 30.80%。常见的超说明书类型是未提及儿童用药信息，占比高达 79.17% ，其次为给药剂量和 给药频次，比例分别为 10.18%和 8.24%。结论应重视儿童用药安全，呼吁制定相关法律规范超说明书用药。 超说明书用药；儿科；安全合理用药 关键词： Survey on Off-label Drug Use in Pediatric Outpatients in a Hospital ZHANG Xia-lan SHEN Xi-kun* MIAO J ie (Suzhou Hospital of Traditional Chinese Medcine, J iangsu Suzhou 215009, China) ， Abstract: Objective To understand the off-label drug use in pediatric outpatients of our hospital and provide basic data for safe and rational use of drugs. Methods A retrospective survey of 100 pediatric prescriptions in outpatient department every month had done from Sep. 2015 to Aug. 2016. The information of weight, gender, age, diagnosis and drugs were collected and analyzed. Results All the 1 200 prescriptions with 2 836 medical records were extracted which contained 594 off -label drug prescriptions of 874 records. The incidence rate of off -label drug use was 49.50% and 30.81% for prescriptions and records respectively. The most common type of off-label drug use was absence of information about child medication, accounting for 79.17% . The rate of wrong dosage was 10.18% , and the rate of frequency of administration was 8.24%. Conclusion We should pay attention to the safety of childrens medication. We aim to call on the state to introduc