目的 分析吉林大學第一醫(yī)院靜脈用藥調配中心60周歲以上老年住院患者注射用藥藥品類別情況，保障老年患者用藥安全，提升用藥合理性。方法 調取本院2019年6～12月60周歲以上老年住院患者由綜合靜脈用藥調配中心調配注射劑用藥信息，按照藥物類別、科室、代表藥進行分析。結果 共統(tǒng)計有價值的用藥信息189 949條，共涉及藥品品種184種。根據(jù)藥物類別統(tǒng)計分析得到抗感染藥、消化系統(tǒng)用藥、中樞神經(jīng)系統(tǒng)用藥占比最高，依次為31.77%、26.90%、16.47%；按科室統(tǒng)計各藥物類別中代表科室依次為呼吸科（15.93%）、肝膽胰外科（15.00%）、神經(jīng)內科（28.43%）；抗感染藥代表藥為注射用磺芐西林鈉（11.22%）、鹽酸莫西沙星注射液（11.11%）；消化系統(tǒng)用藥代表藥為注射用泮托拉唑鈉（48.14%）、中樞神經(jīng)系統(tǒng)用藥代表藥為丹參川芎嗪注射液（26.61%）。結論 60～79周歲中老年人為本院老年患者用藥主要群體。呼吸、消化以及中樞神經(jīng)系統(tǒng)疾病成為老年群體高發(fā)疾病。臨床應針對老年患者疾病特點及治療目標制定個體化用藥方案，降低老年患者用藥風險。

Objective To analyze the categories of injection drugs for elderly inpatients over 60 years old in First Hospital of Jilin University pharmacy intravenous admixture service center, so as to ensure the safety of drug use for elderly patients and improve the rationality of drug use. Methods From June to December in 2019, the information of the elderly inpatients over 60 years old who were allocated injections by the comprehensive intravenous drug allocation center was collected and analyzed according to the drug category, department and representative drugs.Results There were 189 949 pieces of valuable medication information, involving 184 kinds of drugs. According to the statistical analysis of drug categories, the proportion of anti infective drugs, digestive system drugs and central nervous system drugs was the highest, accounting for 31.77%, 26.90%, and 16.47%, respectively. The representative departments of each drug category were respiratory department (15.93%), hepatobiliary and pancreatic surgery department (15.00%) and neurology department (28.43%). The representative drugs of anti-infective drugs were sulbenicillin sodium for injection (11.22%) and salt Moxifloxacin injection (11.11%), pantoprazole sodium for injection (48.14%) and Salvia miltiorrhiza Ligustrazine Injection (26.61%) were the representative drugs of digestive system. Conclusion The elderly aged 60—79 are the high risk population. Respiratory, digestive and central nervous system diseases have become the high incidence diseases of the elderly. In order to reduce the medication risk of elderly patients, individualized medication plan should be made according to the disease characteristics and treatment goals of elderly patients.

R969.3