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目的分析某院心内科前列地尔注射液(凯时)使用情况,并评估其适宜性。方法选取63例使用前列地尔注射液的患者病历,对药品选择适宜性、用法用量、疗程、配伍禁忌等方面进行点评。结果 63例患者病历中,药品选择适宜者47例,占74.60%,药品选择不适宜者16例,占25.40%。所抽取病历中一次10μg,q.d.的用法用量适宜,占比较高,给药途径正确,总体情况较好。63例患者病历的用药疗程为1~42 d,平均疗程为(9±11)d,用药<4周者62例(98%)。63例患者病历中均没有与血浆增容剂(右旋糖酐、明胶制剂等)混合使用。结论前列地尔注射液用药情况总体较好,但仍需加强适应证选择及给药方案。
Objective To analyze the use of prostaglandin injection (Kay hours) in a hospital cardiology and evaluate its suitability. Methods Sixty-three cases of patients with alprostadil injection were selected, and their clinical efficacy, dosage, course of treatment and incompatibility were evaluated. Results Among the 63 patients, 47 cases (74.60%) were eligible for drug selection and 16 (22.6%) were drug-inappropriate, accounting for 25.40%. The extracted medical records in a 10μg, q.d. Usage appropriate dosage, accounting for a higher, the route of administration is correct, the overall situation is better. Sixty-three patients had medical history of 1 to 42 days, with an average course of treatment of (9 ± 11) days. Sixty-two patients (98%) took less than 4 weeks of medication. 63 patients were not in the medical record and plasma compatibilizer (dextran, gelatin preparations, etc.) mixed use. Conclusion Alprostadil injection is generally better, but the choice of indications and dosing regimen need to be strengthened.