摘要
目的:了解急诊科泌尿系统结石的用药特点,为临床合理用药提供参考。方法:提取2016年4月至2018年6月重庆医科大学附属第三医院(捷尔医院)(以下简称"我院")急诊科泌尿系统结石患者的诊疗数据,对患者一般信息、诊断及治疗信息等数据进行统计分析。结果:共纳入2 097例急诊科泌尿系统结石患者,其中,男性患者居多(1 538例,占73.34%),18～40岁患者居多(997例,占47.54%);患者重复就诊率为7.96%(167例),提示复发率较高;泌尿系统结石可伴有尿路损伤、尿路感染,患者常因腰腹部突发疼痛就诊。镇痛药使用例次数最高(1 556例次,占总用药4 620例次的33.68%),主要涉及阿片类镇痛药;解痉药使用例次数排序居第2位(1 374例次,占总用药4 620例次的29.74%);中成药、抗菌药物使用例次数排序分别居第3、4位。结论:我院急诊科泌尿系统结石患者的用药基本合理。临床急诊科治疗泌尿系统结石时,应以镇痛与解痉治疗相结合,针对尿路感染选择适宜的抗菌药物,并可使用中成药辅助排石治疗。
OBJECTIVE: To investigate the characteristics of drug application in patients with urinary calculi in emergency department, so as to provide reference for the rational drug application in clinic. METHODS: Diagnosis and treatment records of patients with urinary calculi admitted into emergency department of the Third Affiliated Hospital of Chongqing Medical University(Gener Hospital)(hereinafter referred to as "our hospital") were extracted from Apr. 2016 to Jun. 2018. Statistical analysis was conducted on patients’ general information, diagnosis and treatment. RESULTS: A total of 2 097 patients with urinary system stones were enrolled in the emergency department, among them, male patients were the majority(1 538 cases, 73.34%), and patients aged between 18 and 40 years were the majority(997 cases, 47.54%). The rate of repeat visits was 7.96%(167 cases), suggesting a higher recurrence rate. Urinary calculi may be associated with urinary tract injury and urinary tract infection, patients sought treatment for sudden pain in the lower back and abdomen. The most frequently used cases were analgesics(1 556 case-times, 33.68% of 4 620 case-times of total drug use), mainly involving opioid analgesics. The number of spasmolytic drug use case-times ranked the second(1 374 case-times, 29.74% of 4 620 case-times of total drug use). The number of use case-times of Chinese patent medicine and antibiotics ranked the third and the fourth respectively. CONCLUSIONS: The medication for patients with urinary calculi in the emergency department of our hospital is basically reasonable. In the treatment of urinary calculi in the clinical emergency department, analgesia and spasmolysis should be combined, appropriate antibiotics should be selected for urinary tract infection, and Chinese patent medicine can be used to assist the stone removal.
作者
胡馨月
杜倩
HU Xinyue;DU Qian(Dept.of Pharmacy, the Third Affiliated Hospital of Chongqing Medical University (Gener Hospital), Chongqing 401120, China)
出处
《中国医院用药评价与分析》
2019年第4期471-474,共4页
Evaluation and Analysis of Drug-use in Hospitals of China
关键词
急诊
泌尿系统结石
疾病特征
镇痛
用药分析
Emergency
Urinary calculus
Disease characteristics
Analgesia
Analysis of drug application
