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目的调查滦南县妇幼保健院2009—2013年儿科住院输液处方不合理用药的情况。方法通过回顾性分析滦南县妇幼保健院2009—2013年儿科住院输液处方,统计并分析其中的不合理用药及联合用药情况。结果 2009—2013年儿科住院输液处方为11 456张,其中儿科总的处方为12 874张,输液处方占儿科总处方单的88.99%;联合用药为7 576张,占整体调查处方总数的58.84%。总共发现不合理的输液处方用药单280张,占调查输液处方总数的2.44%,占住院总处方数的2.17%。主要的不合理用药为联合用药种类不当,用量、用法不当以及重复给药。结论滦南县妇幼保健院儿科住院处方中,静脉输液处方比例较大,且联合用药情况普遍,存在用法、用量不当和重复给药现象。应该加强行政管理手段,严格把关药物的使用,同时不断提高医生的专业水平,并利用多种载体进行强化宣传以提高医院各级医生的合理用药观念。
Objective To investigate the unreasonable use of prescriptions for transfusion of pediatric inpatients from 2009 to 2013 in Luannan Maternal and Child Health Hospital. Methods By retrospective analysis of maternal and child hospital in Luannan Maternal and Child Health Hospital 2009-2013 infusion prescription statistics and analysis of the irrational use of drugs and combination of the situation. Results There were 11 456 prescriptions for pediatric inpatients in 2009-2013, including 12 874 prescriptions for pediatrics and 88.99% prescriptions for infants in pediatrics. The combined treatment was 7 576, accounting for 58.84% of the total number of prescriptions investigated. . A total of 280 unreasonable prescriptions for infusion prescriptions were found, accounting for 2.44% of the total number of infusions surveyed and accounting for 2.17% of the total number of inpatient prescriptions. The main irrational drug combination for the type of improper medication, dosage, improper use and repeated administration. Conclusion Luannan County Maternal and Child Health Hospital pediatric hospital prescriptions, intravenous infusion of a larger proportion of prescriptions, and the combination of drug prevalence, there is usage, improper dosage and repeated drug delivery. The means of administration should be strengthened, the use of drugs should be strictly controlled, the professional level of doctors should be constantly improved, and various carriers should be used to intensify publicity so as to enhance the rational use of drugs by doctors at all levels of the hospital.