论文部分内容阅读
目的点评并分析田阳县人民医院2012年门诊处方,提高医院门诊合理用药水平。方法根据《医院处方点评管理规范》的规定,按季度对内科门诊、外科门诊、妇产科门诊、儿科门诊及急诊科等5个科室门诊处方进行点评,对用药情况进行综合分析。结果①我院第4季度平均每张处方药物(2.6±0.6)种、抗菌药物使用比例为25.9%,注射剂使用比例19.1%,每张处方平均(75.4±8.6)元,均较第1季度明显降低(P均<0.001);而国家基本药物使用比例和通用名使用比例则比第1季度明显升高(P<0.001)。②不合格处方中以用药指征不合理、选药品种不合理、联合用药不合理分列前三位。③药物使用不合理中以抗菌药物居首位,中成药和解热镇痛药分列第2位和第3位。结论医院定期进行处方点评与分析,对存在不合理用药问题及时提出整改措施,可促进临床药物的合理应用,提高医院门诊处方质量和医疗水平。
Objective To review and analyze the outpatient prescriptions of Tianyang People’s Hospital in 2012 to improve the rational use of medicine in outpatient hospitals. Methods According to the regulations of Management Regulations of Hospital Prescription Reviews, the outpatient prescriptions in five departments, including internal medicine clinic, surgical outpatient department, obstetrics and gynecology clinic, pediatric clinic and emergency department, were reviewed on a quarterly basis, and the situation of medication was analyzed comprehensively. Results ① In our hospital, the average number of prescription drugs in each quarter was (2.6 ± 0.6), 25.9% for antibacterials, 19.1% for injections and 75.4 ± 8.6 for each prescription, which were all significantly higher than those in the first quarter (P <0.001). However, the ratio of national essential drugs and common names was significantly higher than that of the first quarter (P <0.001). ② substandard prescription in the indication of irrational drug selection, irrational drug selection, combination of unreasonable breakdown of the top three. ③ unreasonable use of drugs to antibacterial drugs in the first place, proprietary Chinese medicines and antipyretic analgesics ranked second and third place. Conclusion The hospital regularly reviews and analyzes the prescriptions, and puts forward rectification measures in time for the problems of irrational drug use, which can promote the rational application of clinical drugs and improve the prescription quality and medical level of outpatients.