基于加权TOPSIS法的香丹注射液药物利用评价标准的建立与运用

Establishment and Application of Drug Utilization Evaluation Standard of Xiangdan Injection Based on Weighted TOPSIS Method

关键词:  香丹注射液  加权TOPSIS法  药物利用评价  合理性评价

Key words:  Xiangdan injection  weighted TOPSIS method  drug utilization evaluation  rationality evaluation

摘要:

目的 通过建立医院患者使用香丹注射液的药物利用评价标准，进一步使用加权TOPSIS法对香丹注射液的使用情况进行分析、评价，为其临床合理使用提供参考。方法 以药品说明书为基础，结合《中药注射剂临床使用基本原则》和相关文献制定马鞍山市中医院患者使用香丹注射液药物利用评价标准，据此标准细则采用加权TOPSIS法对2019年笔者所在医院70例使用香丹注射液的归档病历进行分析、评价。结果 70例评价病历中，相对接近度≥60%的有63例（90.0%），<60%的有7例（10.0%）。结论 采用加权TOPSIS法对香丹注射液合理性进行多个指标的评价，可操作性强，评价结果直观可信。笔者所在医院应用香丹注射液总体较为规范，但仍存在一些问题，应加强宣教与管理，促进临床合理用药。

Abstract:

OBJECTIVE To establish the drug utilization review standard for patients in hospital using Xiangdan injection, and further analyze and evaluate the use of Xiangdan injection by the weighted TOPSIS method, so as to provide a reference for its rational clinical use. METHODS Establishing the drug utilization review standard of Xiangdan injection for the patients in Ma’anshan Municipal Hospital of TCM based on the drug description, combined with the Basic Principles for the Clinical Use of Traditional Chinese Medicine Injection and relevant literature. According to this standard rules to analyze and evaluate 70 cases of Xiangdan injection archived medical records in the author’s hospital in 2019 by weighted TOPSIS method. RESULTS Among the 70 cases, 63 cases(90.0%) had relative degree of proximity≥60%, 7 cases(10.0%) <60%. CONCLUSION The rationality evaluation method for Xiangdan injection based on the weighted TOPSIS method can combine multiple evaluation indicators, it has strong operability and intuitive evaluation results. The application of Xiangdan injection in the author’s hospital is relatively standardized, but it still have some problems. Therefore, education and management should be strengthened to promote rational clinical medication.