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目的建立头孢替安药物利用评价标准,为临床合理使用提供参考依据。方法参考头孢替安药品说明书及相关文献制定头孢替安评价标准,收集我院2013年10月—2014年2月使用头孢替安的相关病例85份并采用加权TOPSIS法进行评价。结果 85份病例中相对接近程度为1.0的有10例(12%),介于80%~90%之间有11例(占13%),介于70%~80%之间和60%~70%之间均都为20例(24%),小于60%有24例(28%)。结论采用加权TOPSIS法作为头孢替安药物利用评价方法是合理可行的,本院头孢替安的使用情况基本合理,但还存在适应证把握不准、主观经验性用药等问题。
Objective To establish the standard of evaluation of cefotiam drug use and provide a reference for clinical rational use. Methods According to the cefotiam drug specification and related literatures, the evaluation criteria of cefotiam were established and 85 cases of cefotiam used in our hospital from October 2013 to February 2014 were collected and evaluated by weighted TOPSIS. Results Of the 85 cases, 10 (12%) were relatively close to 1.0 and 11 (13%) were between 80% and 90%, ranging from 70% to 80% and 60% 70% were between 20 cases (24%), less than 60% in 24 cases (28%). Conclusion Weighted TOPSIS method as a Cefotiam drug use evaluation method is reasonable and feasible, the use of cefotiam hospital basically reasonable, but there are still indications not allowed to grasp subjective empirical medication and other issues.