论文部分内容阅读
目的:调查分析我院儿童门诊用药情况,为促进儿童合理用药提供依据。方法:随机抽取儿童门诊处方5748张,对处方中的年龄、性别、诊断、药品名称、用法用量、配伍禁忌等项目进行统计分析。结果:在5748张处方中,位居前3位的分别为幼儿25.45%、婴儿24.82%和学龄前儿童24.40%;共用药10 519种,平均每张处方1.83种,抗菌药物使用率为41.5%,注射剂使用率为39.0%;共发现不合理处方615张,占10.7%,其中不规范处方103张(16.7%),用药不适宜处方410张(66.7%),超常处方102张(16.6%);使用抗菌药物处方2385张(41.5%),排在前5位的为头孢羟氨苄、头孢唑啉、美洛西林、乙酰吉他霉素、克林霉素。结论:我院儿童门诊抗菌药物和注射剂使用率偏高,应进一步加强儿科处方的管理,规范儿科用药,确保儿童用药安全。
Objective: To investigate and analyze the outpatient medication in our hospital and provide basis for promoting rational drug use in children. Methods: 5748 outpatient prescriptions were randomly selected to conduct statistical analysis on items such as age, sex, diagnosis, drug name, usage and dosage, incompatibility in prescription. Results: Of the 5,748 prescriptions, 25.45% of infants, 24.82% of infants and 24.40% of preschoolers were among the top 3 infants. A total of 10 519 kinds of prescriptions were used, with an average of 1.83 for each prescription and an antibacterial drug utilization rate of 41.5% (39.0%). A total of 615 illegal drugs were found, accounting for 10.7% of them, of which 103 were non-standard prescriptions (16.7%), 410 (66.7%) were inappropriate drugs and 102 (16.6% ; 2385 (41.5%) prescription antibacterial drugs were used, and the top 5 were cefadroxil, cefazolin, mezlocillin, acetylcitramycin and clindamycin. Conclusion: The use rate of antibacterials and injections in pediatric clinics in our hospital is high. Management of pediatric prescriptions should be further strengthened to standardize pediatric medication and ensure the safety of children’s medication.