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目的:探讨临床抗菌药物的不合理用药,探寻解决不合理用药的方法。方法:随机抽取我院2016/3-2017/3期间的6300张处方,分析抗生菌药物不合理用药处方,并进行分类统计。结果:在全部的处方当中,关于临床抗菌药物应用的处方为2220张,其中不合理的抗生菌应用处方为585张,主要问题涉及到选药、用药、重复用药、无指征滥用、药理拮抗、理化禁忌等方面。结论:临床上需要提高对药物处方应用的管理,及时发现和解决不合理用药的问题,并通过加强临床医师用药培训等多种方法来提升合理用药水平,增强抗菌药物应用的合理性和规范性。
Objective: To investigate the irrational use of clinical antibacterial drugs, to explore ways to solve irrational drug use. Methods: 6300 prescriptions in our hospital during 2016 / 3-2017 / 3 were randomly selected to analyze the prescriptions of unreasonable use of antibiotics, and the classification statistics were conducted. Results: Of the total prescriptions, there were 2220 prescriptions for clinical antibacterials, of which 585 were unfair antibacterials. The main problems involved drug selection, drug use, repeated drug use, no indication abuse, pharmacological antagonism , Physical and chemical taboo and so on. Conclusion: It is necessary to improve the management of the application of prescription drugs, find out and solve the problem of unreasonable medication in time, and enhance the rational use of drugs and enhance the rational and normative application of antibacterials by strengthening the training of clinicians and other methods .