Analysis of Rationality of Medical Orders of 240 Patients with Cervical Cancer

XU Silu; SHI Yin; CHEN Xinrui; WU Nan; HUANG Lingli

doi:10.14009/j.issn.1672-2124.2020.11.026

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Analysis of Rationality of Medical Orders of 240 Patients with Cervical Cancer

更新时间：2022-10-08

- Analysis of Rationality of Medical Orders of 240 Patients with Cervical Cancer
- Vol. 20, Issue 11, Pages: 1387-1389(2020)
- 作者机构：
  
  江苏省肿瘤医院/江苏省肿瘤防治研究所/南京医科大学附属肿瘤医院药学部
- 作者简介：
- 基金信息：
- DOI：10.14009/j.issn.1672-2124.2020.11.026
  CLC： R737.33;R969.3
- Published：2020，
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[1]徐思露,史吟,陈心蕊,吴楠,黄凌莉.240例宫颈癌患者医嘱用药合理性分析[J].中国医院用药评价与分析,2020,20(11):1387-1389+1394.

XU Silu, SHI Yin, CHEN Xinrui, et al. Analysis of Rationality of Medical Orders of 240 Patients with Cervical Cancer. [J]. 20(11):1387-1389(2020)
[1]徐思露,史吟,陈心蕊,吴楠,黄凌莉.240例宫颈癌患者医嘱用药合理性分析[J].中国医院用药评价与分析,2020,20(11):1387-1389+1394. DOI： 10.14009/j.issn.1672-2124.2020.11.026.

XU Silu, SHI Yin, CHEN Xinrui, et al. Analysis of Rationality of Medical Orders of 240 Patients with Cervical Cancer. [J]. 20(11):1387-1389(2020) DOI： 10.14009/j.issn.1672-2124.2020.11.026.

摘要

目的:了解宫颈癌患者药物使用情况

促进临床合理用药。方法:随机抽取2018年江苏省肿瘤医院宫颈癌患者的病历

整理、归纳和分析不合理用药医嘱。结果:共纳入住院患者病历240份

其中不合理用药病历99份

用药合理率为58.75%。共168条不合理用药医嘱

主要表现为用法与用量不适宜（69条

占41.07%）、溶剂选择不适宜（54条

占32.14%）和存在药物相互作用或配伍禁忌（28条

占16.66%）等

涉及的药品包括香菇多糖注射液、注射用兰索拉唑、消癌平注射液和斑蝥酸钠注射液等。结论:针对宫颈癌患者不合理用药医嘱

临床药师应加强与医师的沟通

对医师进行合理用药培训

以保障患者用药的安全性、有效性和经济性。

Abstract

OBJECTIVE: To investigate the application status of drugs in patients with cervical cancer

so as to promote rational clinical use of drugs. METHODS: Medical records of patients with cervical cancer in Jiangsu Cancer Hospital in 2018 were randomly selected

and irrational medical orders were collated

summarized and analyzed.RESULTS: A total of 240 inpatients ’ medical records were reviewed

including 99 irrational medical records

the rational rate of drug use was 58. 75%. There were 168 irrational medical orders

mainly manifested as inappropriate usage and dosage（ 69 items

41. 07%）

inappropriate selection of solvent（ 54 items

32. 14%） and drug interactions or contraindications（ 28 items

16. 66%）

the drugs involved were respectively lentinan injection

lansoprazole injection

Xiao’aiping injection and sodium cantharidinate injection. CONCLUSIONS: In view of the irrational medical orders of cervical cancer patients

clinical pharmacists should strengthen the communication with clinicians

and perform training of rational medication

so as to ensure the safety

efficiency and economy of medication for patients.

关键词

宫颈癌医嘱合理用药

Keywords

Cevical cancerMedical ordersRational use of drugs

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