Analysis of the Current Status of Intravenous Infusion Use in a Tertiary Hospital in Western Yunnan

目的：本研究旨在通过对某医院静脉输液使用情况的分析，为临床安全、有效、合理用药提供数据支持与参考依据。方法：采用回顾性与趋势性分析方法，统计并分析医院就诊量、静脉输液使用情况、各项用药变化以及用药安全信息等，以判断其变化趋势的合理性。结果：我院静脉输液使用呈现科室特异性：重症医学科(17.40袋/床日)和急诊ICU (16.51袋)用量显著高于均值(5.82 ± 3.21袋)(P Objective: This study aims to provide data support and reference for the safe, effective, and rational use of drugs in clinical practice by analyzing the use of intravenous infusion in a hospital. Methods: A retrospective and trend analysis approach was adopted to statistically analyze the hospital’s patient visits, intravenous infusion usage, changes in drug use, and drug safety information, in order to assess the rationality of the trends. Results: The use of intravenous infusion in our hospital showed department-specific characteristics: the intensive care unit (17.40 bags per bed-day) and emergency ICU (16.51 bags) had significantly higher usage than the average (5.82 ± 3.21 bags) (P < 0.001), and surgical departments (e.g., general surgery, 7.5 bags) had higher usage than internal medicine departments (e.g., endocrinology, 2.1 bags) (P = 0.003). The intravenous infusion rate for inpatients (TS = −0.03) and the average infusion volume per person (TS = −0.01) decreased year-on-year, reflecting the effectiveness of rational drug use. The use of antimicrobial agents remained stable (TS = 0.00), while the use of acid-suppressing drugs increased significantly (TS = 0.02). In parenteral nutrition, the use of single-bottle infusion decreased sharply (TS = −0.04), and the use of all-in-one infusion remained low (6.27%). It is necessary to focus on the standardization of intravenous infusion in intensive care and surgical departments, and to optimize the management of acid-suppressing drugs and parenteral nutrition. Conclusion: There are problems in the hospital’s intravenous infusion management, such as insufficient supervision, poor implementation of principles, misconceptions, and lack of pharmaceutical care. It is recommended to strengthen supervision, standardize the principles of use, improve the awareness of rational drug use, and enhance pharmaceutical care to optimize intravenous infusion management.