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目的 :了解头孢菌素类药物的合理应用情况。方法 :提取 1998年 12月上旬应用头孢菌素的 5 0 3例普通病房出院病历 ,采用回顾性调查法分析药物利用及成本消耗情况。结果 :共涉及药物 16种 ,以头孢唑啉最多 ,其次为头孢氨苄片、头孢曲松等。治疗用药 173例 ,有效率 89.0 2 % ;预防用药 330例 ,有效率 97.88%。2 5 .0 5 %的不合理用药病例消耗掉 39.70 %的成本。预防用药的不合理比例 (2 9.0 9% )明显高于治疗用药(16 .76 % )。头孢菌素类药物总金额为 6 0 0 199.5 1元 ,平均 1193.2 4± 1732 .74元 ,占全部药费的 5 .92 %、全部医药收费的 2 .34%。结论 :药品的消费趋势与其疗效、价格及政策倾斜等自身特性密切相关 ,提高合理用药水平有助于降低药费支出
Objective: To understand the rational application of cephalosporins. Methods: The medical records of 530 cases of common ward with cephalosporin were extracted in early December 1998, and the drug use and cost were analyzed retrospectively. Results: A total of 16 kinds of drugs were involved, with cefazolin as the most, followed by cephalexin and ceftriaxone. Treatment of 173 cases of medication, the effective rate of 89.0 2%; preventive medication in 330 cases, the effective rate of 97.88%. 25.5% of cases of unreasonable use of 5% consumed 39.70% of the cost. The unreasonable prophylaxis ratio (2 9.09%) was significantly higher than that of the medication (16.76%). The total amount of cephalosporins was 6 0 0 199.5 1 yuan, an average of 1193.2 4 ± 1732.74 yuan, accounting for 5 .92% of all drugs, all medical charges 2.34%. Conclusion: The consumption trend of medicines is closely related to its own characteristics, such as its curative effect, price and policy inclination, and raising the level of rational drug use will help to reduce the expenditure on medicines