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目的:了解儿童用药现状,保障儿童用药安全。方法:调查某三级妇幼专科医院门诊处方20 320张,统计处方中的常用药品,分析比较其药品剂型、医保类型和药品说明书等情况。结果:20 320张处方中共涉及药品145种,其中儿童用制剂60种(41.38%),成人用制剂85种(58.62%);85种成人用制剂中有78种(91.76%)纳入医保报销,而儿童用制剂仅有34种(56.67%)被纳入医保目录。在所涉及到145种药品中,提及儿童用药信息的有133种(91.72%),但仅有86种(59.31%)标明了儿科用法用量,标明了新生儿剂量的只有13种(8.97%)。结论:某三级妇幼专科医院儿童用制剂配备不足,药品说明书儿童用药信息不全,反映出我国儿科医疗资源的匮乏,亟需制定相应的政策,以确保儿童用药的安全性和依从性。
Objective: To understand the status quo of children’s medication, to ensure the safety of children’s medication. Methods: 20 320 outpatient prescriptions were investigated in a tertiary-level maternity and child hospital, statistical drugs were commonly used in prescriptions, and their dosage forms, types of medical insurance and drug manuals were analyzed and compared. Results: A total of 20 320 prescriptions involved 145 kinds of medicines, of which 60 (41.38%) for children and 85 (58.62%) for adults and 78 (91.76%) for 85 kinds of adult preparations were covered by Medicare, While only 34 kinds of children’s preparations (56.67%) were included in the health insurance directory. Of the 145 drugs covered, 133 (91.72%) were referred to children’s medication information, but only 86 (59.31%) indicated pediatric usage and only 13 newborns (8.97% ). Conclusion: The lack of preparation for children in a tertiary-level maternity and adolescent hospital and the inadequate information on medication for children in the drug instruction book reflect the lack of pediatric medical resources in our country. Therefore, it is imperative to formulate appropriate policies to ensure the safety and compliance of children’s medication.