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目的:分析抗生素类药物在呼吸内科的临床应用情况,为加强舟山市妇幼保健院临床安全用药提供依据。方法:对2013年4月~2014年4月在舟山市妇幼保健院呼吸内科治疗的130例患者的临床资料进行回顾性分析,评价其生素药物的使用情况。结果:130例患者中有114例使用抗生素药物进行治疗,抗生素使用率为87.69%。其中,一联用药47例,二联用药38例,三联用药20例,四联用药9例;抗生素药物的使用时间最长为34天,最短为4天,平均用药时间(14.62±3.55)天;患者在使用抗生素进行治疗的过程中,有13例出现不合理用药现象,包括剂量不合理5例,用药时间不合理3例,无指征用药2例,盲目用药2例,频繁更换药物1例,不合理用药率为11.40%(13/114)。结论:在临床抗生素的使用过程中,存在抗生素药物多用、联合使用不合理等情况,需要加强对抗生素的管理水平,提高呼吸内科抗生素类药物使用的合理性。
Objective: To analyze the clinical application of antibiotics in respiratory medicine and provide the basis for strengthening the clinical safety of Zhoushan MCH. Methods: The clinical data of 130 patients residing in Zhoushan Maternal and Child Health Hospital from April 2013 to April 2014 were retrospectively analyzed to evaluate their use of biologic drugs. RESULTS: Of the 130 patients, 114 were treated with antibiotics and the antibiotic use rate was 87.69%. Among them, a combination of 47 cases, 38 cases of dual therapy, triple therapy in 20 cases, quadruple medication in 9 cases; antibiotics use the longest time of 34 days, the shortest of 4 days, the average medication time (14.62 ± 3.55) days In the process of using antibiotics, 13 cases of irrational drug use occurred, including 5 cases of irrational dosage, 3 cases of irrational medication, 2 cases of non-indicatory medication, 2 cases of blind medication and 1 case of frequent replacement of drug 1 For example, the unreasonable drug use rate was 11.40% (13/114). Conclusion: In the process of clinical antibiotics, there are many cases of antibiotic use, combined use of unreasonable and so on, the need to strengthen the management of antibiotics, respiratory medicine to improve the rational use of antibiotics.