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目的:了解苏州市城区儿童家长为儿童自我药疗的现状, 为开展儿童安全用药提供参考.方法:以问卷调查的形式, 随机抽取苏州儿童医院门诊就诊的700例患儿的家长对儿童自我药疗的情况进行调查.结果:苏州市儿童家庭合理用药总体情况不理想, 主要体现在家长对儿童用药自行增减剂量 (39.7%) 、疗效欠佳时经常更换儿童药物 (26.3%) 、使用多种药物同时治疗 (43.4%) 、经常使用解热镇痛药 (13.7%) 、经常使用抗生素 (27.9%) 、忽视观察药物不良反应 (80.9%) 等方面, 在家庭药品管理情况中60.3%的家长会将儿童药物单独存放, 47.0%的家长会将药物存放在孩子不易接触的位置, 家长的职业、儿童的性别等因素对家庭药品管理有显著影响 (P<0.05) .结论:全社会应加大对家长进行儿童合理用药知识的宣传教育, 提高儿童安全用药行为意识, 保障儿童自我药疗的安全性.“,”Objective: To investigate the current situation of self-medication for children by their parents in the urban area of Suzhou, so as to provide reference for the development of safe medication for children. Methods: According to the form of the questionnaire survey, 700 cases of children in the outpatient department of Suzhou Children\'s Hospital were randomly selected to investigate the selfmedication for children. Results: The level of rational drug use in children\'s families in Suzhou was generally unsatisfactory, mainly performed as the increasing and decreasing of the dosage of children\'s drugs (39.7%), frequent replacement of children\'s drugs in poor curative effect (26.3%), and simultaneous treatment with multiple drugs (43.4%), regular use of antipyretic analgesics (13.7%) and antibiotics (27.9%), and neglect observation of adverse drug reactions (80.9%), etc. In the status of drug management in the families, only 60.3% of the parents would store children\'s drugs alone, and 47% of the parents would store the drugs in the place that was not easily accessible to the children. Parents\' occupation, children\'s gender and other factors had significant impacts on family drug management (P<0.05). Conclusion: The whole society should increase the propaganda and education of knowledge of children\'s rational drug use to parents, improve children\'s awareness of medication, and ensure the safety of self-medication for children.