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目的:对门诊西药房抗菌药物的应用情况进行调查,从而实现临床合理用药。方法:选择我院门诊西药房在2016年5月期间所开具的3万张药物处方单作为研究对象,采用回顾性分析的方法对3万张处方中的所涉及到的抗菌药物的名称、用法用量、联合用药、用药频率以及销售数量等进行统计记录,同时对患者使用抗菌药物之后出现的不良反应情况进行分析研究,以此为根据提出针对性的解决对策。结果:对门诊西药房3万张药物处方进行分析研究,发现其中涵盖了9075张抗菌药物处方,占总数量的30.25%,包括单一使用4967张、二联1619张、三联及以上108张;给药途径从多至少依次为口服、静脉滴注、肌肉注射和外用;且在其中还存在408张抗菌药物不合理应用的处方,约占抗菌药物处方的4.50%。结论:门诊西药房抗菌药物的应用基本上符合相关规定的标准,但其中也存在不合理应用现象,需采取有效的解决对策。
Objective: To investigate the application of antibacterials in outpatient western pharmacy to achieve rational clinical use. Methods: Thirty thousand drug prescriptions issued by our outpatient western pharmacy in May 2016 were selected as the research objects. The retrospective analysis was conducted on the names and usage of the antimicrobial drugs involved in the 30,000 prescriptions Dosage, combination therapy, frequency of medication and sales volume were recorded statistically. At the same time, the adverse reactions of patients after using antimicrobial agents were analyzed and studied, and based on this, some countermeasures were put forward. Results: The prescriptions of 30 000 prescriptions in outpatient western pharmacy were analyzed and found that it covered 9,075 antibacterial prescriptions, accounting for 30.25% of the total, including 4967 single use, 1619 duplex, 108 triple and above; There were 408 prescriptions for unreasonable use of antimicrobial drugs, accounting for about 4.50% of the prescriptions of antimicrobial drugs. Conclusions: The application of antimicrobial agents in outpatient western pharmacy basically meets the standards of relevant regulations, but there are also unreasonable application phenomena and effective measures to be taken.