Analysis of Glucocorticoid Outpatient Prescriptions in a Hospital during 2013-2015 / 中国药房

OBJECTIVE:To provide reference for rational use of glucocorticoid in the clinic. METHODS:The glucocorti-coid outpatient prescriptions collected from clinical departments of a hospital during Jan. 2013 to Jun. 2015 were analyzed statisti-cally in respects of glucocorticoid use,department distribution,DDDs,distribution of prescription diagnosis,etc. RESULTS:Of 15 000 prescriptions,there were 1 562 glucocorticoid prescriptions,with utilization rate of 10.4%;189 prescriptions were recog-nized as irrational ones,with irrational rate of 12.1%. The proportion of glucocorticoid in otorhinolaryngology department was the highest(27.66%),and irrational drug use was the highest in pediatrics department(16.12%);Dexamethasone injection was the most widely applied(44.88%);most of glucocorticoid prescriptions were used for acute bronchitis and bronchitis(267 pre-scriptions). CONCLUSIONS:The irrational glucocorticoid application has existed in the hospital,which deserved special atten-tion. Hence,prescription check and evaluation should be strengthened to promote the safety and efficacy of glucocorticoid in clini-cal application.

Analysis of TCM Decoction Prescriptions for Lung Cancer in Our Hospital in 2014 / 中国药房

OBJECTIVE:To provide reference for lung cancer therapy in the filed of TCM and offer guidance for pharmacy work. METHODS:266 lung cancer prescriptions were collected from the department of TCM of our hospital during Jan. to Dec. in 2014,in-vestigated and analyzed in respects of patient’s age,the number of TCM ingredient,the weight and number of dose,cost,drug catego-ries,the frequency of each ingredient use. RESULTS:The high-risk population of lung cancer were over 40 years old group;the num-ber of TCM ingredient were from 16 to 20;the weight of dose was from 200 g to 300 g;the average number of dose was 10.01 with 53.79 yuan in average. Top 3 TCM were tonics (16.5%),TCM for relieving cough,reducing phlegm and preventing asthma (13.5%),TCM for clearing heat(11.5%). Fritillaria thunbergii,Morus alba,Citrus reticulate and Tetrastigma hemsleyanum took up the front place in the list of frequency. CONCLUSIONS:TCM for relieving cough,reducing phlegm and preventing asthma(13.5%) and TCM for clearing heat are frequently used in TCM prescription for lung cancer;all of them are easily damaged by worms,mildew, rot and extensive diffusion of oil. The management should be strengthened.

Evaluation and Analysis of Prescriptions in the Outpatients Dispensary of Our Hospital / 中国药房

OBJECTIVE:To evaluate the drug use in outpatients of our hospital. METHODS: A total of 10.680 prescriptions prescribed since the issuing of the Prescription Management Method on May 2007 were reviewed for an analysis of the irrational ones involving nonstandard writing and inappropriate drug use. RESULTS: 12.0% prescriptions were nonstandard in writing and 51.6% were irrational in drug use. CONCLUSION: The prescriptions in our hospital under study are somewhat irrational in prescription writing and drug use,which is worth the highest alert.