| 引用本文: |
金蕾,杨耀芳,魏新萍,等.上海市闵行区不同级别医院口服降糖药的应用分析[J].中国卫生经济,2017,(9):59-62.[点击复制] |
.The Analysis of Oral Antidiabetic Agents in Different Grades of Hospitals in Minhang District of Shanghai[J].CHINESE HEALTH ECONOMICS,2017,(9):59-62.[点击复制] |
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| 摘要: |
| 目的：分析上海市闵行区不同级别医院口服降糖药用药特点，为临床合理用药提供参考。方法：采用回顾性分析方法，对区内16?家医院2015年12月—2016年11月口服降糖药用药金额、用药频度(DDDs)及日均费用(DDC)等指标进行统计分析。结果??2015年12月—2016年11月本区口服降糖药购药总金额6751.05万元，其中一级医院占76.89%，阿卡波糖在一、二、三级医院分别排名第1。一级医院有5个品种购药金额在300-800万元之间，格列吡嗪控释片排名第2。瑞格列奈购药金额在二、三级医院排名第2。一级医院二甲双胍用药频度最高为834.02。DDC最高为阿卡波糖在一、二、三级医院分别排名第1，沙格列汀在二、三级医院排名第2。一、二、三级医院用药一致性为28.13%。结论 我区糖尿病患者主要在社区配药，医生和患者更趋向选择基本药物，价格合理，一、二级医院用药品规更接近。 |
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| The Analysis of Oral Antidiabetic Agents in Different Grades of Hospitals in Minhang District of Shanghai |
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| Abstract: |
| Objective ：To analyze the features of oral antidiabetic agents in different grades of hospitals in Minhang District of Shanghai so as to provide reference for clinical rational drug use. Methods： The data of oral antidiabetic agents, DDDs and daily cost (DDC) were analyzed statistically in 16 hospitals in Minhang District by retrospective analysis from December 2015 to November 2016. Results ：The total amount of oral antidiabetic drugs purchased from December, 2015 to November, 2006 was 67.5105 million yuan, among which 76.8 9% was from first class hospitals. Acarbose was ranked the first in the first,second and third grade hospitals respectively. The first hospitals have five drugs whose purchase amount between 3 to 8 million .Among them, glipizide controlled release tablets ranked second. The purchase amount of Repaglinide ranked the second in the second and third grades hospitals. In the first grade hospitals, metformin had the highest DDDs(834.02). In terms of DDC,acarbose ranked the first in the first,second and third grades of hospitals. Saxagliptin ranked the second in the second and third grades hospitals. The drug consistency in the first, second and third grades hospitals was 28.13%. Conclusion：Medicines are dispensed to diabetic patients mainly in community. Doctors and patients tend to choose essential drugs with reasonable prices. the first and second grades of hospital use nearly the same drugs in terms of variety and dosage |
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