Analysis of Clinical Application of Xueshuantong for Injection(Lyophilized)in Our Hospital
10.6039/j.issn.1001-0408.2017.09.12
- VernacularTitle:我院注射用血栓通(冻干)的临床应用分析
- Author:
Yanning WANG
;
Huiling ZHANG
;
Qiaoqin WANG
;
Shuyue WU
- Keywords:
Xueshuantong for injection(lyophilized);
Clinical application;
ADR;
Clinical pharmacists
- From:
China Pharmacy
2017;28(9):1193-1196
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To provide reference for promoting clinical rational application of Xueshuantong for injection(lyophi-lized). METHODS:By hospital centralized monitoring method,all medical records were retrieved from Hospital Information Sys-tem of our hospital,who received Xushuantong for injection(lyophilized)from Aug. 7 to Oct. 6 in 2015;general information of patients'drug information,drug utilization and the occurrence of ADR were traced and recorded by clinical pharmacists to evaluate the rationality of clinical utilization of Xushuantong for injection(lyophilized). RESULTS:Totally of 1014 medical records were included in the study. Xueshuantong for injection(lyophilized)was mainly used for fracture,cerebral infarction,coronary disease, cataract and other disease. 22 clinical departments as orthopedics department,neurology department,cardiology department and ophthalmology department were involved,accounting for 56.41% of total. For the patients receiving Xushuantong for injection(ly-ophilized),the average age was 63.12 years,the average course was 11 days and dose was 100-500 mg/time. They were given medicine intravenously once a day,and 0.9% Sodium chloride injection was used as solvent (93.29%). There were 10 kinds of drugs for drug combination averagely. The incidence of ADR was 5.92‰,and all ADR resulted from same batch of drugs (No. 15040211);ADR mainly manifested as erythra,erythema,pruritus,chills,etc. In terms of irrational drug use,the incidence of overlong treatment course was 17.85%;that of inadequate solvent dose was 13.71%;that of fast dripping rate was 7.59%;that of unsuitable solvent selection was 0.69%;that of drug use with no indication was 0.39%. CONCLUSIONS:Xueshuantong for injec-tion(lyophilized)is widely used in middle-aged and elderly in the clinic. There are many varieties and irrational drug use. The oc-currence of ADR is properly related to age,treatment course,solvent,dripping speed,product quality and other factors. Clinical pharmacists are required to monitor drug use,promote the rationality of drug use and reduce the occurrence of ADR.
