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目的探讨门诊抗菌药物的使用情况。方法选取2014年1月至2015年1月沈阳医学院附属中心医院门诊部的1290张抗菌药物处方,统计抗菌药物的名称、剂型、用量、金额、用药时间、科室等,对门诊各科室抗菌药物的使用情况、抗菌药物的联合用药情况及不合理使用情况进行统计和分析。结果单用抗菌药物占34.1%;2联抗菌药物处方450张,占34.9%;3联及以上抗菌药物处方400张,占31.0%;1290张抗菌药物处方中不合理使用抗菌药物处方100张,其中用法不当47张,占47.0%;无适应证用药24张,占24.0%;用药档次过高22张,占22.0%;重复用药7张,占7.0%。结论门诊处方抗菌药物应用基本合理,但也存在一些不足,如用药起点过高、大包围用药等,对此可采取有效的措施加以控制和调节,从而提高抗菌药物的合理应用。
Objective To explore the use of outpatient antibacterials. Methods From January 2014 to January 2015, Shenyang Central Hospital Outpatient Department of 1290 antibacterial prescriptions, statistical antibacterial name, dosage, amount, duration of medication, departments, etc., outpatient departments of antibacterial drugs The use of antimicrobial drugs combined with the situation and unreasonable use of statistics and analysis. Results Antibiotics alone accounted for 34.1%; 450 tablets of 2 antimicrobials were prescribed, accounting for 34.9%; 400 prescriptions of 3 or more antibiotics were prescribed, accounting for 31.0%; 100 prescriptions of antimicrobial drugs were ineligible in 1,290 antibacterials prescriptions, Among them, 47 cases were used improperly, accounting for 47.0%; 24 cases without indications, accounting for 24.0%; 22 cases were overbidding medication, accounting for 22.0%; 7 cases were repeated medication, accounting for 7.0%. Conclusion The application of prescription antibacterial drugs in clinic is basically reasonable, but there are some shortcomings. For example, the starting point of drug use is too high, and the drug is surrounded by a large amount of drugs. Effective measures can be taken to control and regulate the antibacterial drugs so as to improve the rational application of antibacterial drugs.