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·药师与药学服务·


          34家儿童医疗机构镇咳祛痰药品说明书信息标注情况分析                                                                Δ


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          丁 臻 ,梁 海 ,阮文懿 ,蔡和平 (1.安徽省儿童医院临床药学部,合肥 230022;2.亳州市人民医院药学
                          2
          部,安徽 亳州 236800)
          中图分类号  R974+.1;R985      文献标志码  A      文章编号  1001-0408(2024)05-0607-05
          DOI  10.6039/j.issn.1001-0408.2024.05.17

          摘  要  目的  了解儿童医疗机构常用镇咳祛痰药药品说明书中儿童用药信息标注情况,并提出相关建议。方法  收集我国具有
          区域代表性的20家三级儿童医院(中心)和14家妇幼保健院(中心)的100种常用镇咳祛痰药的说明书,对药品说明书中儿童用药
          信息标注情况进行调查分析。结果  专用儿童镇咳祛痰药只有7种,其他均为非儿童专用药;镇咳祛痰药中片剂占18.00%,注射
          剂占18.00%,胶囊剂占4.00%;100种镇咳祛痰药中72种(占72.00%)标注了儿童用法用量,63种(占63.00%)标注了儿童用药项,
          59种(占59.00%)注意事项中注明了儿童信息,均未标注儿童药动学参数;对比进口或合资的镇咳祛痰药,国产药品儿童用药信息
          标注缺失较多;63种标注有儿童用药项的药品说明书中,多种说明书标注信息指导意义不大。结论  镇咳祛痰药说明书中儿童用
          药信息存在标注缺乏的情况,儿童专用药品占比低,说明书中儿童用药项标注信息对儿童用药指导意义不大。相关部门应进一步
          推进镇咳祛痰药的药品说明书中儿童用药信息的完善,保障儿童用药的合理使用。
          关键词  镇咳祛痰药;儿童;药品说明书;用药信息标注;调查

          Analysis  of  information  labeling  in  instructions  of  antitussive  and  expectorant  drugs  in  34  children’s
          medical institutions
          DING Zhen ,LIANG Hai ,RUAN Wenyi ,CAI Heping(1. Dept. of Clinical Pharmacy, Anhui Provincial Children’s
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          Hospital,  Hefei  230022,  China;2.  Dept.  of  Pharmacy,  Bozhou  People’s  Hospital,  Anhui  Bozhou  236800,
          China)
          ABSTRACT   OBJECTIVE  To understand the information labeling of children’s medication in the instructions of antitussive and
          expectorant  drugs  commonly  used  in  children’s  medical  institutions,  analyze  the  existing  problems,  and  propose  relevant
          suggestions.  METHODS  The  instructions  for  100  antitussive  and  expectorant  drugs  commonly  used  in  20  tertiary  children’s
          hospitals (centers)  and  14  maternal  and  child  health  hospitals (centers)  with  regional  representativeness  in  China  were  collected,
          and the information labeling of children’s medication in the instructions was investigated and analyzed. RESULTS There were only
          7  kinds  of  antitussive  and  expectorant  drugs  for  children,  and  the  others  were  non-specific  drugs  for  children. Among  antitussive
          and  expectorant  drugs,  tablets  accounted  for  18.00%,  injections  for  18.00%,  and  capsules  for  4.00%. Among  100  antitussive  and
          expectorant drugs, 72 (72.00%) labeled the usage and dosage for children, 63 (63.00%) labeled the medication items for children,
          59 (59.00%)  indicated  the  information  of  children  in  the  precautions,  and  pharmacokinetic  parameters  for  children  were  absent.
          Compared  with  imported  antitussive  and  expectorant  drugs  or  the  drugs  manufactured  by  joint  ventures,  there  were  many  missing
          labeling  of  medication  information  for  children  with  Chinese  drugs. Among  63  kinds  of  drug  instructions  labeled  with  medication
          items  for  children,  various  instructions  information  had  little  guiding  significance.  CONCLUSIONS  There  is  a  lack  of  labeling  in
          the  instructions  of  antitussive  and  expectorant  drugs  for  children,  and  the  proportion  of  special  drugs  for  children  remains  low.
          Pediatric  drug  information  in  the  instructions  has  little  guiding  significance  for  pediatric  medication.  Relevant  departments  should
          further  promote  the  completeness  of  pediatric  medication  information  in  the  instructions  of  antitussive  and  expectorant  drugs  to
          ensure the rational use of children’s medication.
          KEYWORDS    antitussive and expectorant drugs; children; instruction; medication information labeling; investigation



             Δ 基金项目 安徽省重点研究与开发计划项目(No.2022e07020066)             咳嗽咳痰是儿童呼吸系统疾病常见的症状,通常由
             *第一作者 副主任药师,硕士。研究方向:医院药学。电话:
                                                             上呼吸道感染引起,其他疾病、过敏原或运动引发的支
          0551-62237352。E-mail:25399089@qq.com
                                                             气管痉挛也会引起咳嗽。作为一种保护性反射,咳嗽促
             # 通信作者 主任药师,硕士。研究方向:临床药学、药事管理。电
          话:0551-62237131。E-mail:greenhprui@163.com          进了黏液纤毛运动,有助于清除气道中过多的分泌物和


          中国药房  2024年第35卷第5期                                                 China Pharmacy  2024 Vol. 35  No. 5    · 607 ·
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