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目的调查分析广州市社区卫生服务中心门、急诊输液及静脉输液处方用药情况,促进静脉输液的合理使用。方法选取我市17家社区卫生服务中心,调查2015年上半年静脉输液人均使用量以及具体品种;并抽查1日门急诊静脉输液处方,计算门急诊静脉输液率并对输液处方进行合理性的评价。结果收集17家社区卫生服务中心5 342张处方,静脉输液率为4.40%,73%的静脉输液处方使用抗菌药物;静脉输液处方合格率28.51%,存在的问题主要为静脉用药缺乏必要性以及抗菌药物给药间隔不适宜。结论广州市基层医院存在不合理使用静脉输液问题,建议相关部门出台符合本市实际需求的静脉输液临床指引,促进静脉输液合理使用的管理措施。
Objective To investigate and analyze the situation of door, emergency infusion and prescription of intravenous infusion in Guangzhou Community Health Service Center to promote the rational use of intravenous infusion. Methods 17 community health service centers in our city were selected to investigate the per capita amount of intravenous infusion and the specific varieties in the first half of 2015. The randomized intravenous infusion prescription on the 1st day was calculated to calculate the intravenous infusion rate of the emergency department and the rationality of the infusion prescription . Results A total of 5 342 prescriptions were collected from 17 community health service centers. The intravenous infusion rate was 4.40%. Antimicrobial drugs were used in 73% of intravenous infusion prescriptions. The pass rate of intravenous infusion was 28.51%. The main problems were the necessity of intravenous drug use, Drug administration interval is not appropriate. Conclusions There is an irrational use of intravenous fluids in primary hospitals in Guangzhou City. It is suggested that the relevant departments issue clinical guidelines on intravenous fluids that meet the actual needs of the city and promote rational management of intravenous fluids.