靜脈用藥不合理使用情況及原因分析

顧福莉 徐涑珅 石昌國

摘要：目的? 分析靜脈用藥不合理使用情況及原因，并提出針對性的干預方法，以提升臨床靜脈用藥的合理和安全性。方法? 回顧分析2018年1月～2019年6月我院119例靜脈用藥不合理患者的臨床資料，分析靜脈用藥不合理原因，總結針對性的干預方法。結果? 119例靜脈用藥不合理，其中藥物之間配伍不當41例，占33.12%;輸液溶劑不當22例，占18.03%;給藥途徑不當4例，占3.27%;給藥劑量不當18例，占14.75%;給藥濃度不當19例，占15.57%;給藥頻次不當15例，占12.29%;119例患者中出現頭暈5例，惡心嘔吐6例，食欲不振9例，皮疹4例，不良反應發生率為20.16%（24/119），均未給予特殊處理，停藥后自行緩解消失。結論? 加強干預靜脈用藥不合理使用情況，明確不合理使用原因，并給予針對性干預，有助于減少臨床靜脈用藥不合理現象，降低臨床不良反應發生率。

關鍵詞：靜脈;合理用藥;輸液

中圖分類號：R96? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? 文獻標識碼：A? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? DOI：10.3969/j.issn.1006-1959.2020.02.047

文章編號：1006-1959（2020）02-0153-02

Abstract：Objective? To analyze the unreasonable use of intravenous medications and their causes， and propose targeted intervention methods to improve the rationality and safety of clinical intravenous medications. Methods? The clinical data of 119 patients with unreasonable intravenous medication in our hospital from January 2018 to June 2019 were retrospectively analyzed， the causes of unreasonable intravenous medication were analyzed， and targeted intervention methods were summarized.Results? 119 cases of intravenous medication were unreasonable， including 41 cases of improper compatibility of drugs， accounting for 33.12%; 22 cases of improper infusion solvents， accounting for 18.03%; 4 cases of improper administration， accounting for 3.27%; 18 cases of improper dosage， accounting for 14.75 %; Improper administration concentration in 19 cases， accounting for 15.57%; improper administration frequency in 15 cases， accounting for 12.29%;in 119 patients， dizziness occurred in 5 cases， nausea and vomiting in 6 cases， loss of appetite in 9 cases， and rash in 4 cases. The incidence of adverse reactions was 20.16%， all of which were not given special treatment and disappeared after stopping treatment.Conclusion? Strengthening the intervention of irrational use of intravenous drugs， clarifying the reasons for irrational use， and giving targeted interventions can help reduce the irrational clinical use of intravenous drugs and reduce the incidence of clinical adverse reactions.

Key words：Intravenous;Rational drug use;Infusion

靜脈用藥是臨床治療疾病的重要手段。隨著醫藥科技的快速發展，臨床可靜脈使用的藥品種類越來越多，但不合理使用情況仍存在，嚴重影響疾病的有效治療及用藥安全。靜脈用藥藥液會直接進入血管，準確科學調配靜脈藥物，是確保靜脈用藥合理的關鍵。目前有關靜脈用藥不合理現象的研究較多，但是關于靜脈用藥不合理原因和干預方法研究較少，且研究結論存在爭議。本研究結合2018年1月～2019年6月我院119例靜脈用藥不合理患者的臨床資料，分析靜脈用藥不合理原因，總結針對性的干預方法，以期為提高臨床靜脈合理用藥水平提供一定的參考，現報道如下。