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目的:评价我市儿科门诊合理用药水平,为探索、推进儿科临床合理用药提供参考。方法:结合WHO推荐的合理用药指标,选择我市具有代表性三家医院2008年10月～2009年6月份儿科门诊处方和各30名儿科门诊就医患者进行调查。结果:处方指标中平均用药品种数为3.07种,通用名使用率为63.90%,抗菌药应用率为59.26%,注射剂应用率为22.96%,基本药物应用率为61.02%,平均每张处方金额为68.48元;患者关怀指标中患者平均就诊时间为7.73 min,药品平均调配时间为45.75 s,实际药品调配率为100%,药物标示完整率为100%,患者了解药品正确用法率为94.44%。结论:用药情况基本合理,但基本药物应用率、通用名使用率偏低,抗菌药使用率也有待降低,有待采取相关措施提高合理用药水平。
Objective: To evaluate the reasonable level of pediatric outpatient use in our city and provide references for exploring and promoting the rational use of pediatric medicine. Methods: According to the reasonable medication index recommended by the WHO, we selected the pediatric outpatient prescriptions and 30 pediatric outpatients from October 2008 to June 2009 in three representative hospitals in our city to investigate. Results: The average number of prescriptions for prescriptions was 3.07, the common name was 63.90%, the antibacterials application rate was 59.26%, the injection rate was 22.96% and the basic drug application rate was 61.02%. The average prescription cost per prescription was 68.48 yuan. The mean duration of patient visit was 7.73 minutes. The average time for drug delivery was 45.75 seconds. The actual drug delivery rate was 100%. The complete drug rate was 100%. The patients’ correct usage rate was 94.44%. Conclusion: The medication is basically reasonable, but the rates of using basic drugs and common names are low, and the usage of antibacterials should be reduced. Relevant measures need to be taken to improve the rational use of drugs.