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1. 1. 衡阳市衡南县鸡笼镇中心卫生院内科
2. 南华大学附二医院儿科
纸质出版日期:2011,
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[1]黄翠娥,刘梅梅.胃炎、胃溃疡治疗中的不合理用药分析[J].保健医学研究与实践,2011,8(03):57-58+82.
HUANG Cui-e1 LIU Mei-mei2. Analysis of Irrational Drug Program for Gastritis and Gastric Ulcer Treatment[J]. Health Medicine Research and Practice, 2011,8(3):57-58.
目的对胃炎和胃溃疡治疗中易出现的不合理用药进行临床分析。方法调查并记录450例于我院和南华大学附二医院消化内科门诊就诊且经电子胃镜确诊胃炎、胃溃疡患者的用药情况
结合笔者的临床经验对近几年消化内科中胃炎、胃溃疡常用医嘱进行回顾性总结
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从药理机制方面对胃炎和胃溃疡治疗中易出现的不合理用药进行临床分析。结果 153例患者存在不合理用药情况
不合理用药的比率为34.0%;不合理配伍是胃炎、胃溃疡治疗中最主要的不合理用药方式。主要包括:H2受体拮抗剂与抗酸药配伍
胃黏膜保护剂与抗酸剂配伍
质子泵抑制剂与铋剂配伍
吗丁啉与抗胆碱药物配伍等。结论不合理用药比例较高
应引起临床医生的高度重视。了解不同药物的作用机理是合理用药的基础。
Objective To analyze the irrational drug use in treatment of gastritis and peptic ulcer patients.Method Surveyed and analyzed drug use records of 855 cases patients with gastritis and peptic ulcer which had been diagnosed by electronic endoscopy.Combining the author’s clinical experience and relevant literature review in treatment of gastroenterology in recent years
we retrospectively analyzed irrational drug use in gastritis and gastric ulcer patients from the pharmacological mechanism of the treatment methoda.Results Gastroenterology of drugs for the treatment of gastritis and ulcer agents can be divided into catalogs as followings: acid restrain drugs(H2 receptor antagonists
cholinergic drugs
proton pump inhibitors
etc.)
anti-Helicobacter pylori drugs
gastric mucosal protective agent
etc.;According to the results of the survey
there were 297 patients existing irrational drug use with an proportion of approximately 34.0%.Common irrational drug use are as followings: H2 receptor antagonist with anti-acid drugs compatibility
gastric mucous ulcer with anti-acid agent compatibility
proton pump inhibitors with bismuth agent compatibility
domperidone with butyl choline compatibility
etc.Conclusion: Factors such as different kinds of medicine
gastritis mechanism play an important role in the treatment of peptic ulcer gastritis
and it is necessary for clinical doctors to learn more to get rational drug compatibility.
胃炎胃溃疡用药机制不合理
GastritisGastric UlcerDrug MechanismUnreasonable
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