论文部分内容阅读
目的调查分析贵州省北部某区农村基层医疗机构门诊抗菌药物的使用情况,为相关部门的监管、基层医疗机构抗菌药物的规范化使用提供依据。方法随机抽取该区7所乡镇卫生院和14所村卫生室2014年1月-2015年12月的西药门诊处方进行统计分析。结果 (1)共抽取门诊处方15 709张,含抗菌药物处方10 730张,抗菌药物平均使用率为68.30%,乡镇卫生院为51.13%,村卫生室为77.80%,差异有统计学意义(χ2=1183.52,P<0.001)。(2)乡镇卫生院抗菌药物联用处方占含有抗菌药物处方的11.26%,村卫生室为29.38%,差异有统计学意义(χ2=371.83,P<0.001)。(3)抗菌药物费用占比在乡镇卫生院和村卫生室分别为14.83%、20.93%。(4)在给药方式的选择上,口服、肌肉注射、静脉滴注的比例,乡镇卫生院为81.11%、3.46%、13.40%;村卫生室为44.16%、16.72%、32.17%。结论贵州省北部某区农村基层医疗机构抗菌药物使用率较高,给药方式的选择存在不合理现象,村卫生室抗菌药物不合理使用情况较乡镇卫生院严重。
Objective To investigate the use of antibacterials in outpatient clinics of rural grass-roots medical institutions in a district in the northern part of Guizhou Province, and provide evidences for the supervision of relevant departments and the standardized use of antibacterial drugs in primary medical institutions. Methods A total of 7 township hospitals and 14 village clinics in the district were randomly selected from January 2014 to December 2015 for statistical analysis. Results (1) A total of 15 709 outpatient prescriptions were drawn, including 10 730 antibacterial prescriptions, an average of 68.30% antibacterials, township hospitals 51.13% and village clinics 77.80% (χ2 = 1183.52, P <0.001). (2) The antibacterial combination prescription of township hospitals accounted for 11.26% of the prescriptions containing antibacterial drugs, and the village clinics was 29.38%. The difference was statistically significant (χ2 = 371.83, P <0.001). (3) The proportion of antibacterial drug costs accounted for 14.83% and 20.93% respectively in township hospitals and village clinics. (4) The proportion of oral administration, intramuscular injection and intravenous drip infusion were 81.11%, 3.46% and 13.40% in township hospitals and 44.16%, 16.72% and 32.17% in village clinics. Conclusion The utilization rate of antibacterials in rural primary medical institutions in the northern part of Guizhou Province is high, and there is an irrational choice of the mode of administration. The unreasonable use of antibacterials in village clinics is more serious than that of township hospitals.