AN Na, ZHANG Guying, JIA Chenhong, et al. Analysis on Rationality and Research on Drug Utilization of Lienal Polypeptide Injection in 296 Children[J]. 2021,21(3):358-361.
AN Na, ZHANG Guying, JIA Chenhong, et al. Analysis on Rationality and Research on Drug Utilization of Lienal Polypeptide Injection in 296 Children[J]. 2021,21(3):358-361. DOI: 10.14009/j.issn.1672-2124.2021.03.023.
儿童剂量药物利用指数(dose of children drug utilization index
d CDUI)随着体重的增加而降低
且低体重患儿的d CDUI>1
存在过度应用现象;高体重患儿的d CDUI<1
存在用药不足问题。不同体重分组患儿的儿童浓度药物利用指数(concentration of children drug utilization index
c CDUI)均>1
超浓度应用现象严重。结论:应规范脾多肽注射液在儿童患者中的临床应用
促进合理用药。
Abstract
OBJECTIVE: To probe into the application rationality and drug utilization of lienal polypeptide injection in children.METHODS: Medical history of 296 children treated with lienal polypeptide injection in a certain children’s hospital from Jun.2018 to May 2019 were randomly extracted
combining with the drug instructions
the"Prescription Management Measures"
the"Expert Consensus on Clinical Use of Immunomodulators in Children"and the age and weight of children
a scoring standard for the clinical rational application of lienal polypeptide injection on children was established
including 7 indicators of indications
drug dosage
solvent type
drug concentration
administration frequency
drug combination and immune function examination
the rationality of each indicator was evaluated
and 1 point scored when rational
the rational rate and total points were calculated
so as to preliminarily discuss the evaluation method of rational application of lienal polypeptide injection in children.RESULTS: Results of medication evaluation showed that the scoring rates from high to low were respectively drug dosage( 100%
296 cases)
solvent type( 100%
296 cases)
administration frequency( 100%
296 case)
drug indications( 97.97%
290 cases)
drug combination( 95.61%
283 cases)
drug concentration( 79.73%
236 cases)
immune function examination( 61.82%
183 cases).Results of analysis on children’s weight showed that the amount of medicine used per unit body weight was negatively correlated with body weight.Results of drug utilization analysis showed that the dose of children drug utilization index( dCDUI) decreased with the increase of weight
and the d CDUI of children with low birth weight was >1
there was excessive application; the d CDUI of children with high body weight was <1
there was insufficient application.All the concentration of children drug utilization index( cCDUI) of children in different weight groups was >1
there was over-concentration application.CONCLUSIONS: The application of lienal polypeptide injection in children should be standardized to promote rational drug application.
关键词
脾多肽注射液儿童剂量儿童药物利用指数合理用药
Keywords
Lienal polypeptide injectionChild doseChildren drug utilization indexRational drug application