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目的了解广东省基层卫生院静脉输液使用情况,为规范化管理静脉输液提供依据。方法从广东省韶关市、清远市、潮州市、梅州市选取9家卫生院,随机抽取各医院2015年7月24日100份门诊处方及10份病历,统计分析门诊、住院输液情况,并对输液处方和医嘱的合理性进行评估。结果共抽取门诊处方743张,住院病历60份。门诊、住院患者平均输液率分别为40.35%、98.89%,日人均输液量分别为1袋、4袋;静脉滴注抗菌药物使用率分别为32.07%、81.67%;输液处方和病历不合理率分别为84.27%、87.18%,其主要问题为适应证不适宜,门诊及住院分别为57.38%、73.62%;其次为用法用量不适宜,门诊及住院分别为49.29%、37.47%。结论广东基层卫生院存在滥用静脉输液问题,尤其是静脉用抗菌药物,建议相关部门制定临床静脉输液规范,加强监督和管理,促进临床静脉输液的合理使用。
Objective To understand the use of intravenous fluids in primary health care hospitals in Guangdong Province and provide the basis for standardized management of intravenous fluids. Methods Nine clinics were selected from Shaoguan City, Qingyuan City, Chaozhou City and Meizhou City of Guangdong Province. 100 outpatient prescriptions and 10 medical records were randomly selected from hospitals on July 24, 2015, and the outpatient and inpatient transfusion were statistically analyzed. Infusion prescriptions and medical advice to evaluate the rationality. Results A total of 743 outpatient prescriptions were drawn and 60 inpatient records were collected. The average infusion rates of outpatients and inpatients were 40.35% and 98.89%, respectively. The daily infusion volume was 1 bag and 4 bags respectively. The rates of using antimicrobials by intravenous infusion were 32.07% and 81.67% Accounting for 84.27% and 87.18% respectively. The main problems were inappropriate indications, outpatients and inpatients were 57.38% and 73.62% respectively, followed by inappropriate usage and outpatients and inpatients were 49.29% and 37.47% respectively. Conclusion There is abuse of intravenous fluids in grass-roots hospitals in Guangdong, especially for intravenous antibiotics. It is suggested that relevant departments should formulate clinical intravenous fluids guidelines, strengthen supervision and management, and promote the rational use of clinical intravenous fluids.