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目的考察我院上呼吸道感染(AURTI)患者的用药情况,探讨AURTI患者的最佳用药策略。方法现对我院2012年8月至2013年2月间AURTI患者的用药情况,包括患者临床症状、药物种类、给药途径、连用情况等信息进行统计分析。结果 360例AURTI患者的临床症状以发热(48.33%)、咽喉不适(56.39%)、喷嚏流涕(40.56%)为主。药物种类:抗菌药物(308例,85.56%)、西药抗病毒药物(243例,67.50%)和中成药(213例,59.17%)。给药途径:静脉给药207例(57.50%)、口服给药287例(79.72%)。单一用药患者62例(17.22%),联用患者298例(82.78%)。结论目前我院在AURTI的治疗中存在了过度使用抗菌药物和静脉给药、不必要联用的情况,医院应加强医生的职业素养和业务水平,进一步规范AURTI的治疗过程。
Objective To investigate the medication of patients with upper respiratory tract infection (AURTI) in our hospital and to explore the best medication strategy for AURTI patients. Methods The clinical data of AURTI patients in our hospital from August 2012 to February 2013 were analyzed retrospectively, including the clinical symptoms, drug type, route of administration and use cases. Results The clinical symptoms of 360 AURTI patients were mainly fever (48.33%), throat discomfort (56.39%) and sneezing runny nose (40.56%). Drug categories: antimicrobial drugs (308 cases, 85.56%), western antiviral drugs (243 cases, 67.50%) and proprietary Chinese medicines (213 cases, 59.17%). Route of administration: intravenous administration of 207 cases (57.50%), oral administration of 287 cases (79.72%). There were 62 patients (17.22%) in single drug group and 298 patients (82.78%) in combination drug group. Conclusions At present, there are some cases in our hospital about the treatment of AURTI, such as excessive use of antimicrobial agents and intravenous administration, which is not necessary. The hospital should strengthen the professionalism and professional level of doctors to further standardize the course of AURTI treatment.