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| 113例万古霉素类药物利用及成本分析 |
| An Analysis of the Use of Vancomycins in 113 Cases and its Cost |
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| DOI： |
| 中文关键词: 万古霉素类 药物利用 用药成本 合理用药 糖肽类药物 |
| 英文关键词:Vancomycins,Drug utilization,Rational drug use,Cost |
| 基金项目: |
| 郭代红 郭文萍 刘敏超 |
| [1]解放军总医院，北京100853 [2]三门峡市人民医院 |
| 摘要点击次数: 1625 |
| 全文下载次数: 113 |
| 中文摘要: |
| 目的：了解万古霉素类药物的合理应用情况。方法：提取2002年应用万古霉素类的113例次出院病历，采用回顾性调查法分析药物利用及成本消耗情况。结果：治疗用药34例(30．09％)，预防用药79例(69．91％)，治疗用药和预防用药的有效率分别为23．53％和83．54％。34．51％的不合理用药病例消耗摔47．25％的成本。预防用药的不合理比例(37．98％)明显高于治疗用药(26．47％)。去甲万古霉素单日用药成本低于万古霉素，但平均用药天数较之后者多出1．9d。结论：万古霉素类药品目前的应用范围有所放宽，应采取特殊措施，严格限制预防性用药，保护该类药物的使用寿命。 |
| 英文摘要: |
| Objective: To reveal the condition of rational utilization of Vancomycins. Method: The use of Vancomycin in 113 cases in General Hospital of PLA and its cost were analyzed by retrospective analytic means.Result: The efficacious rates of the utilization of the drug were 73.53% for the therapeutic purpose in 34 cases and 83.54% for the preventive purpose in 79 cases. The unreasonable drug utilization, which accounted for 34.51%, expended 47.25% of the total cost. The unreasonable proportion of the preventive cases (37.98%) was significantly higher than that of the therapeutic cases(26.47%). Norvancomycin is superior to vancomycin in pharmacoeconomics.Conclusion: The analysis suggested that the consumption tendency of drugs was closely related to their specific properties, such as efficacy, price, and the inclination of policy. Therefore some measures should be taken to improve the level of rational utilization and to reduce the drug expenditure. |
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