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目的:基于汶川地震伤病员疾病谱的药品实际使用情况,分析某院在汶川地震后1月内应急药品使用金额。方法:收集该院震后1月内,伤病员的住院情况,应急药品使用金额以及随天数的变化情况,使用Excel软件录入数据,统计分析地震后1月内伤病员具体药品的日均费用、人均费用、日均差额和人均差额。结果:汶川地震后1月内,该院收治伤病员共1 839人,ICD-10标化为伤情的人数占91.22%,病情占8.78%。震后1月内,住院人数与药品使用金额波动趋势一致,提示药品费用趋势合理。使用金额排名前五位的药物分别为抗微生物药物,调节水、电解质及酸碱平衡药物,生物制品,营养治疗药物,消化系统药物,符合地震伤病员疾病谱。在使用金额不低于5万元的药理分类中,排名靠前的多为进口和注射剂型药物;其中,进口药物人均费用和日均费用均值分别是国产的1.88倍和1.51倍,注射剂型药物人均费用和日均费用均值分别是非注射剂型的6.13倍和3.72倍。结论:影响应急药品使用金额的因素有:(1)地震伤病员的人数及病情;(2)药物的单价及用量;(3)药物的产地;(4)给药方式,注射、吸入或口服。灾后应急药品保障应以伤情为主,以注射剂型为主。应急救援时,选择使用方便、剂量合理、符合疾病谱的药物,以保证应急救援的及时有效。
OBJECTIVE: To analyze the use of emergency medicine in a hospital within one month after the Wenchuan earthquake based on the actual use of drugs in the wounded and sick disease spectrum of Wenchuan Earthquake. Methods: The data of hospitalization, the amount of emergency medication and the change of the number of emergency medical personnel within 1 month after the earthquake were collected by using Excel software, and the daily average of specific drugs in the wounded and sick within 1 month after the earthquake was collected Costs, per capita expenses, average daily balance and per capita balance. Results: Within 1 month after the Wenchuan earthquake, a total of 1 839 people were admitted to the hospital for wounded and sick patients. The number of ICD-10 cases was 91.22% and the disease rate was 8.78%. Within one month after the earthquake, the trend of the number of inpatients and the fluctuation of the amount of use of medicines was consistent, suggesting that the trend of drug costs is reasonable. The top five drugs in use amount were antimicrobial drugs, water, electrolytes and acid-base balance drugs, biological products, nutrition remedies, and digestive drugs, respectively, in line with the disease spectrum of earthquake victims. In the use of the amount of not less than 50000 yuan in the pharmacological classification, the top ranked mostly for the import and injection of drugs; which per capita cost of imported drugs and average daily average costs were 1.88 times and 1.51 times the domestic injection of drugs Average per capita costs and average daily costs were 6.13 times and 3.72 times that of non-injectable dosage forms respectively. CONCLUSIONS: The factors affecting the amount of emergency medicine used are: (1) the number and condition of earthquake casualties; (2) the unit price and dosage of drugs; (3) the origin of the drug; (4) the mode of administration, oral. After the disaster emergency drug protection should be the main injury to injection-based. Emergency rescue, the choice of easy to use, the dose is reasonable, in line with the spectrum of drugs to ensure the timely and effective emergency rescue.