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[目的]分析乡、村两级医疗机构药物使用存在的问题,引导乡、村医疗机构规范用药。[方法]采取分层抽样的方法抽取出6个乡镇卫生院和9个村卫生室,并随机抽取上感和胃炎处方,运用SPSS15.0进行统计分析。[结果]平均每处方药品数超过世界卫生组织的推荐标准,抗生素和激素都存在一定的过度使用。[结论]规范其用药行为需增加对基层医疗机构的投入,培训医务人员专业技能和合理用药知识,普及农民医疗常识,将合管办独立出来作为第三方来实施监管等。
[Objective] To analyze the problems existing in the medical use of township and village medical institutions and to guide the medical institutions in townships and villages to standardize their medication. [Method] The method of stratified sampling was used to extract 6 township hospitals and 9 village clinics. Randomly extract the prescriptions of flu and gastritis, and use SPSS15.0 for statistical analysis. [Results] The average number of prescription drugs per prescription surpassed the World Health Organization’s recommendations, and there was some overuse of antibiotics and hormones. [Conclusion] It is necessary to regulate the use of drugs to increase investment in primary health care institutions, training medical staff expertise and rational use of drug knowledge, popularization of peasants medical knowledge, the independent co-operation as a third party to implement supervision.