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目的了解三级乙等医院门诊处方用药指标现状,并提出质控措施。方法每月随机调查湖北医药学院附属随州医院2010年10月～12月间门诊处方和2009年同期处方各100张,按照《处方管理办法》和《医院处方点评管理规范(试行)》的要求统计,并进行评价与分析。结果 2010年与2009年第四季度本院门诊处方平均用药品种数为2.2种和2.8种;抗菌药物使用率为46.7%和47%;注射剂使用率为38.3%和30%;基本药物品种使用率为55.2%和50.8%;药品通用名使用率为100%和98.8%;平均每张处方金额为88.1元和71.3元;合理处方百分率为95.7%和81%。结论除抗菌药物使用率和平均每张处方金额外,各项评价指标均有不同程度改善。三级乙等医院门诊处方用药逐步趋于合理,但仍需加大对门诊抗菌药物、注射剂使用、基本药物使用的管理力度。
Objective To understand the current situation of outpatient prescription prescriptions in Grade B hospitals and to propose quality control measures. Methods A total of 100 outpatient prescriptions and 100 prescriptions in the same period of each year were conducted in Suizhou Hospital Affiliated to Hubei Medical College from January to December in 2010 according to the requirement of “prescription management approach” and “hospital prescription review management standard (trial)” , And evaluation and analysis. Results In the fourth quarter of 2010 and the fourth quarter of 2009, the average number of outpatient prescriptions was 2.2 and 2.8. The antibacterials utilization rate was 46.7% and 47% respectively. The injections were 38.3% and 30% respectively. The utilization rate of essential medicines 55.2% and 50.8% respectively. The generic names of the drugs were used at 100% and 98.8% respectively. The average prescription cost per prescription was 88.1 yuan and 71.3 yuan. The reasonable prescription percentage was 95.7% and 81% respectively. Conclusion In addition to the use of antimicrobial agents and the average amount of each prescription, the evaluation indicators have improved to varying degrees. Third-class hospital outpatient prescription medication gradually become more reasonable, but still need to increase the out-patient antibacterial drugs, injections, the use of essential drugs management efforts.