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北京大学人民医院药剂科
纸质出版日期:2021,
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任晓蕾, 刘刚, 刘一, 等. 多奈哌齐临床应用特征及潜在用药风险分析[J]. 中国医院用药评价与分析, 2021,21(9):1102-1104.
REN Xiaolei, LIU Gang, LIU Yi, et al. Clinical Application Characteristics and Potential Drug Risk of Donepezil[J]. 2021,21(9):1102-1104.
任晓蕾, 刘刚, 刘一, 等. 多奈哌齐临床应用特征及潜在用药风险分析[J]. 中国医院用药评价与分析, 2021,21(9):1102-1104. DOI: 10.14009/j.issn.1672-2124.2021.09.019.
REN Xiaolei, LIU Gang, LIU Yi, et al. Clinical Application Characteristics and Potential Drug Risk of Donepezil[J]. 2021,21(9):1102-1104. DOI: 10.14009/j.issn.1672-2124.2021.09.019.
目的:了解住院患者多奈哌齐应用特征
为规范临床合理用药提供参考。方法:选取2018—2019年北京大学人民医院使用多奈哌齐的住院患者
共170例
对患者的一般情况、临床用药特征及联合用药情况等进行统计分析。结果:170例患者中
男性患者91例
女性患者79例;平均年龄(78.44±8.67)岁;平均住院时间(12.65±6.93) d;既往有过敏史的患者有32例; 165例患者(占97.06%)有服用多奈哌齐的相关诊断
5例患者(占2.94%)缺少相应的诊断。多奈哌齐的用量以5 mg、1日1次和10 mg、1日1次为主
共149例
占87.65%; 12.35%的患者(21例)可能存在用药剂量不适宜。部分患者在服用多奈哌齐的同时联合应用西酞普兰、舍曲林、帕罗西汀、利培酮和托特罗定等药物
可能存在药物相互作用导致潜在用药风险。另外
有7例患者(占4.12%)出现了不良反应。结论:住院患者多奈哌齐的使用存在诊断不规范、用法与用量不规范及潜在用药风险等情况
应引起临床重视;同时
药师在药学服务中应予以关注。
OBJECTIVE: To investigate the clinical application characteristics of donepezil in inpatients
so as to provide reference for standardizing rational drug use in clinic. METHODS: A total of 170 inpatients with donepezil in People’s Hospital
Peking University from 2018 to 2019 were extracted for statistical analysis of the general conditions
clinical characteristics and drug combination. RESULTS: Among the 170 patients
91 were males and 79 were females
the average age was( 78. 44±8. 67) years
the average length of stay was( 12. 65±6. 93) d. There were 32 patients with previous allergic history. Totally 165 patients( 97. 06%) had the diagnosis related to the administration of donepezil and 5 patients( 2. 94%) lacked the corresponding diagnosis. The dosage of donepezil was mainly 5 mg
qd
and 10 mg
qd
149 cases in total
accounting for 87. 65%. And 12. 35% of patients( 21 cases)might have inappropriate dosage. In some patients
donepezil was combined with citalopram
sertraline
paroxetine
risperidone
tolterodine and other drugs
which might lead to potential drug risks due to drug interactions. Meanwhile
7 patients( 4. 12%) had adverse drug reactions. CONCLUSIONS: The use of donepezil in inpatients has irregular diagnosis
improper usage and dosage
and potential medication risks
which should attract clinical attention;meanwhile
pharmacists should pay attention to the phenomenon in pharmaceutical care.
多奈哌齐用药特征潜在用药风险
DonepezilMedication characteristicsPotential drug risk
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