2012—2014年汉中市3201医院钙剂及维生素类药应用分析

汪光玉，赵嘉闻，王　强(.陕西省汉中疗养院药剂科，陕西 汉中　73000； .广西医科大学第一临床医学院，广西 南宁　5300)



2012—2014年汉中市3201医院钙剂及维生素类药应用分析

汪光玉1*，赵嘉闻2，王强1(1.陕西省汉中疗养院药剂科，陕西 汉中723000； 2.广西医科大学第一临床医学院，广西 南宁530012)

DOI10.14009/j.issn.1672-2124.2016.02.027

摘要目的：分析汉中市3201医院(以下简称“我院”)钙剂和维生素类药品的使用情况，为临床合理用药提供参考。方法：采用限定日剂量、用药频度、限定日费用和排序比等药物利用研究指标，对我院2012—2014年钙剂和维生素类药品的使用情况、变化趋势等进行分析。结果：钙剂和维生素类药品的年销售金额呈逐年上升趋势，最常用的钙剂类型是碳酸钙+维生素D3的复方制剂，其销售金额占整个钙剂销售金额的七成以上。用药频度排前3位的维生素类药品分别是维生素B6注射液、赖氨肌醇维B12口服液和维生素C注射液。结论：我院钙剂的使用情况基本合理，应警惕临床使用量较大的维生素C和维生素E长期、过量使用的危害性。

关键词钙剂； 维生素； 分析

Analysis on Application of Calcium and Vitamin Drugs in 3201 Hospital in Hanzhong during 2012-2014

WANG Guangyu1, ZHAO Jiawen2, WANG Qiang1(1.Dept.of Pharmacy, Shanxi Hanzhong Sanatorium, Shanxi Hanzhong 723000, China; 2.First School of Clinical Medicine, Guangxi Medical University, Guangxi Nanning 530012, China)

ABSTRACTOBJECTIVE：To analyze the application of calcium and vitamin drugs in 3201 hospital(hereinafter referred to as “certain a hospital”) in Hanzhong, and provide reference for the rational drug use in clinic. METHODS: Defined daily dose system(DDDs), defined daily cost(DDC), ranking ratio were set as the research indexes, and analysis was conducted on the application status and changes of trend of calcium and vitamin drugs during 2012-2014 in certain a hospital. RESULTS: The annual consumption sum of calcium and vitamin drugs were in a increase trend yearly. And the most commonly used calcium was calcium carbonate VD3compound, which took up more than 70% of the total calcium consumption sum. The top 3 vitamin drugs ranked by DDDs were vitamin B6injection, lysine inosite combined with vitamin B12oral solution and vitamin C injection. CONCLUSIONS: The application of calcium in certain a hospital is basically rational, but it is necessary to attach more importance to harmfulness caused by the long-term and excessive application of vitamin C and vitamin E.

KEYWORDSCalcium; Vitamins; Analysis

钙是人体必需的营养素，是骨骼、牙齿的重要成分。钙离子参与许多重要的生理功能，如维持神经与肌肉的正常兴奋性，维持细胞膜的稳定性和通透性，参与神经信息的传递、细胞分泌、肌肉的收缩、血凝过程以及许多酶的活动和细胞的生长发育[1]。维生素是维持人体正常代谢功能必须的微量营养物质，在机体生长发育、新陈代谢、免疫调节等生理活动中发挥了举足轻重的作用[2]。……