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目的对儿科门诊用药的使用情况进行分析,找出存在问题,使药品在使用中能达到最佳治疗效果,最低药物不良反应,最经济的药物利用。确保儿科用药合理、安全、有效。方法随机抽取门诊处方6391张,统计使用情况,并评价用药合理性。结果不合理用药处方626张,占统计处方9.8%,其中选药不当174张占不合理处方的27.8%,用法用量不当320张占不合理处方51.2%,配伍不合理132张占不合理处方(21%)。同时统计出抗菌药物处方占统计处方的(74.5%)4761张,抗菌药静脉给药3873张占统计处方的60.6%,抗菌药口服处方888张占统计处方的13.9%。结论儿科抗菌药物使用率明显高于一般人群,应不断提高医师和药师专业技能;定期组织医务人员参加药学知识培训。确保合理安全用药。
Objective To analyze the use of pediatric outpatient medication and find out the existing problems so that the best therapeutic effect, lowest adverse drug reaction and the most economical drug use can be achieved. To ensure that pediatric medication is reasonable, safe and effective. Methods A total of 6391 outpatient prescriptions were randomly selected and used to evaluate the rationality of medication. The results of unreasonable medication prescription 626, accounting for 9.8% of statistical prescriptions, of which improper drug selection 174 accounted for 27.8% of unreasonable prescriptions, the amount of inappropriate use of 320 accounted for 51.2% of unreasonable prescriptions unreasonable compatibility 132 accounted for unreasonable prescription twenty one%). Statistics of antimicrobial prescriptions accounted for 4761% (74.5%) of the prescriptions, antibiotics antibiotics intravenous administration of 3873 accounted for 60.6% of prescriptions, antibacterials oral prescriptions 888 accounted for 13.9% of the statistical prescriptions. Conclusions The rate of pediatric antimicrobial use is significantly higher than that of the general population. Professional skills of physicians and pharmacists should be continuously improved. Medical staff should be regularly trained in pharmacy knowledge. Ensure reasonable and safe medication.