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在乡镇医院的临床工作中,不合理用药的现象相当普遍。因用药不当发生不良或异常反应的现象时常发生,特别是不合理配伍应用多种药物和滥用抗生素导致药品浪费及药源性疾病的问题更为突出。药源性疾病在医疗事故中的比例逐年上升,患者因用药不合理造成的经济负担日益加重。1 原因1.1 临床医生业务素质差 乡镇医院不少临床医生药物知识老化或缺乏,对迅速出现的品种繁多的新药不熟悉,用药时心中无数,常常应用不恰当的剂量和用法,在药物治疗中经常出现“大包围”现象(如一个静脉输注柱晶白霉素的病人,再加口服利菌沙、环丙沙星、复方新诺明)。
In the clinical work of township hospitals, irrational drug use is quite common. Poor or abnormal reactions due to improper use of drugs occur from time to time, especially the unreasonable compatibility of multiple drugs and abuse of antibiotics leading to waste of medicines and drug-borne diseases. The proportion of drug-borne diseases in medical accidents has increased year by year, and the economic burden caused by unreasonable use of drugs has become increasingly serious. 1 Reason 1.1 The clinician’s quality of service is poor. Many clinicians in township hospitals suffer from aging or lack of knowledge of drug knowledge. They are unfamiliar with the rapid emergence of a wide range of new drugs. Numerous minds are used when administering drugs, and often inappropriate dosages and usages are often used in drug treatment. A “big siege” phenomenon (such as an intravenous infusion of lecithin in patients, plus oral clotrisulfide, ciprofloxacin, compound sulfamethoxazole).