中国医院用药评价与分析2025，Vol.25Issue(3)：368-371,375,5.DOI:10.14009/j.issn.1672-2124.2025.03.024
不同管理措施对泌尿外科Ⅱ类切口手术围手术期药物使用合理性的改善效果研究
Improvement Effects of Different Management Measures on Rational Use of Perioperative Drugs in Urology Class Ⅱ Incision Surgery
摘要
Abstract
OBJECTIVE:To probe into the improvement effects of different management measures on rational use of 5 categories of drugs(antibiotics,proton pump inhibitors,antiemetics,hemostatics and analgesics)in perioperative period of urology class Ⅱ incision surgery in the hospital,and to promote rational medication in perioperative period of class Ⅱ incision surgery.METHODS:Role of pharmacists in rational medication management was strengthened,centralized prescription review and medication intervention for prescription review management measures were introduced to form a whole-process management of before-during-after rational medication,and the improvement effects of various indicators of medication in perioperative period of urology class Ⅱ incision surgery were evaluated under single,double and triple management measures.RESULTS:A total of 460 male patients with class Ⅱ incision surgery who underwent prostate-related surgical treatment in the urology department in the hospital from 2020 to 2023 were enrolled,of which 152 cases were implemented with single-link management measures,155 cases with double-link management measures,and 153 cases with triple-link management measures.From 2020 to 2023,the average hospitalization cost of the enrolled cases did not increase significantly,while the average drug cost decreased by 57.80%[from(4 329.23±1 761.53)RMB in 2020 to(1 826.78±872.77)RMB in 2023],the average length of stay decreased by 17.56%[from(11.90±3.20)d in 2020 to(9.81±2.41)d in 2023],and the average antibiotics use density decreased by 46.58%[from(40.30±16.80)DDDs/(100 person·d)in 2020 to(21.53±15.99)DDDs/(100 person·d)in 2023].Among 5 categories of drugs in perioperative period,except for antibiotics and hemostatics,the usage rates of other drugs decreased year by year,and except for analgesics,the rational rate of other drugs were improved significantly,in which the improvement effect of triple management measures was faster and more obvious than those of double management measures and single management measures,with long-lasting effect.However,the rational rate of drug use fluctuated or decreased under a single management measure.CONCLUSIONS:Pharmacists can play an important role in promoting rational medication management,and the integrated management measures are more effective than single management measures,which is worthy of further popularizing and applying.关键词
Ⅱ类切口/围手术期/合理用药Key words
Class Ⅱ incision/Perioperative period/Rational medication分类
医药卫生引用本文复制引用
张彦,虞勋,陈世祺,杭永付,朱建国..不同管理措施对泌尿外科Ⅱ类切口手术围手术期药物使用合理性的改善效果研究[J].中国医院用药评价与分析,2025,25(3):368-371,375,5.基金项目
江苏省医学重点学科(No.ZDXK202247) （No.ZDXK202247）
