论文部分内容阅读
目的 分析药费超过规定标准的住院病人用药情况 ,为临床合理用药提供资料。方法 随机抽取住院病例 10 0份 ,选出药费超过医院规定标准的病例 35份进行用药分析。结果 医保类药品消耗金额大 ,医生经验用药明显 ,药敏实验重视不够 ,抗生素药物利用指数、治疗范围基本合理 ,使用频率高的抗生素依次为克林霉素、头孢噻肟、尼泰欣等。结论 抗生素使用现状基本合理 ,单独或联合使用普通价位抗生素少是药费超标的主要原因
Objective To analyze the drug use situation of hospitalized patients whose drug charges exceed the prescribed standard, and provide information for clinical rational drug use. Methods A total of 100 hospitalized cases were selected at random, and 35 cases with medical expenses exceeding the hospital’s standard were selected for drug analysis. Results The amount of medical insurance drugs was large, the doctors’ experience was obvious, the susceptibility test was not enough, and the antibiotic drug utilization index and treatment range were basically reasonable. The antibiotics with high frequency of use were clindamycin, cefotaxime, and Nitenoxin in sequence. Conclusion The status of use of antibiotics is basically reasonable. The use of common price antibiotics alone or in combination is the main reason for excessive drug costs.