目的 調(diào)查焦作市第二人民醫(yī)院注射用血栓通（凍干）的使用情況，為臨床合理用藥提供參考。方法 調(diào)取焦作市第二人民醫(yī)院2016年1月—2017年12月使用注射用血栓通（凍干）的患者病例1 200份，并對患者的基本情況、用藥目的、用法用量、用藥療程、聯(lián)合用藥等信息進(jìn)行統(tǒng)計分析，評價其臨床應(yīng)用的合理性。結(jié)果 使用注射用血栓通（凍干）的患者中男性明顯多于女性，用藥科室主要為神經(jīng)內(nèi)科和心臟內(nèi)科，構(gòu)成比分別為27.33%、22.83%。用藥原因主要為腦血管疾?。?6.58%）和心血管疾?。?4.33%）。用藥療程主要分布于≤7、8～15 d，構(gòu)成比分別為33.92%、53.58%。聯(lián)合用5、6種藥物的患者最多，分別占23.67%、28.08%。不合理使用例數(shù)為220例，占總例數(shù)的18.33%，以使用療程不適宜（49.09%）為主。結(jié)論 焦作市第二人民醫(yī)院注射用血栓通（凍干）的應(yīng)用科室或病種廣泛，且存在不合理現(xiàn)象，應(yīng)加強規(guī)范該藥的使用管理，做好對患者的用藥監(jiān)測，提升其臨床應(yīng)用的合理性。

Objective To investigate the usage of Xueshuantong for injection (freeze-dried) in the Second People's Hospital of Jiaozuo, and provide reference for clinical rational use of drugs. Methods Data of patients (1 200 cases) using Xueshuantong for injection (freeze-dried) in the Second People's Hospital from January 2016 to December 2017 were analyzed retrospectively, including patient's general information, medication reasons, usage and dosage, course of treatment, and drug combination, and the rationality of clinical utilization was evaluated. Results Men using Xueshuantong for injection (freeze-dried) were more than women. The main departments were Department of Neurology and Department of Cardiology, accounting for 27.33% and 22.83%, respectively. The main medication reasons were cerebrovascular disease (36.58%) and cardiovascular disease (24.33%). The main course of treatment was less than 7 d and 8 - 15 d, with the constituent ratio of 33.92% and 53.58%, respectively. The patients using Xueshuantong for injection (freeze-dried) combined with 5 or 6 kinds of drugs accounted for 23.67% and 8.08%. The case of irrational drug use was 220 cases with the constituent ratio of 18.33%, and most of them were unsuitable course of treatment. Conclusion The usage of Xueshuantong for injection (freeze-dried) in departments and diseases is extensive in the Second People's Hospital of Jiaozuo, but there are some unreasonable uses.Therefore, the use management and monitoring of medications of patients should be strengthened, to promote the rationality of drug use.