宣武医院门诊处方中非甾体抗炎药的调查分析与经济学评价

ANALYSIS OF NONSTEROIDAL ANTIINFLAMMATORY DRUGS IN THE PRESCRIPTIONS IN XUAN-WU HOSPITAL

摘要:

目的：了解非甾体类抗炎药物的使用情况。方法：采用回顾性调查的方法，对宣武医院2000年11月份的45419张处方进行分析。结果：芳基烷酸类药物应用最广泛但价格较高，水杨酸及乙酰苯胺类疗效确切应用广泛，且价格相对低廉，临床用药中还存在着配伍及用法用量不妥之处。结论：在非甾体类抗炎药物应用中不要随意加大用量或改变用法，应注意和避免作用相反的药物配伍(ADR)的出现。

Abstract:

Objective: To understand the situation of perscription of nonsteroidal anti-inflammatory drugs(NSAIDs) in order to guarantee their reasonable, safe, effective and economical use in clinical practice. Methods: 45419 prescriptions in XUAN-WU hospital from Nov 2000 to Dec 2000 were analyzed retrospectively and statistically. Results: Sulindac, Naproxen, Ibuprofen and Nabumetone are widely used but more expensive. Aspirin and Acetaminophen are effective and cheaper. There are many misuse and drug interaction in NSAIDs.Conclusion: The dosage of NSAIDs must be nicely controled. It is necessary to prevent adverse drug interactions of NSAIDs.