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目的:通过对某三甲医院儿科使用的抗菌药物、呼吸系统药物和消化系统药物现状的抽样调查,对比门诊与住院患儿用药特点与差异并进行相关因素分析,以期促进儿科用药的合理性与安全性。方法:随机抽取某院儿科2011年2月至2012年9月门诊处方2 400张和2010年6月至2012年5月儿科住院电子病历1 600份,采用DDDs排序法对数据进行统计分析。结果:门诊与住院患儿在给药途径、给药剂量、给药剂型以及药品种类选择上存在一定的差异。给药途径门诊患儿以口服为主,住院患儿以静脉滴注为主;部分呼吸系统药物用药剂量过大,住院患儿抗菌药物的使用起点选择较高,使用率、联合用药率也较高。结论:虽然该院儿科用药结构基本合理,但调查结果显示静脉给药方式在儿童用药中已逐步成为主流,为保证其用药的安全性,抗菌药物的合理选用(或联用)以及儿童用药剂量科学规范化值得重视与研讨。
OBJECTIVE: To compare the characteristics and differences of outpatient and inpatient drug use and to analyze the related factors through the sampling survey of the antibiotics, respiratory medicine and digestive system drugs used in the pediatric department in a top three hospital in order to promote the rationality and safety of pediatric medicine Sex. Methods: A total of 2 400 outpatient prescriptions from February 2011 to September 2012 in pediatrics and 1 600 pediatric inpatient electronic records from June 2010 to May 2012 were collected randomly. The data were statistically analyzed by DDDs. Results: Outpatients and inpatients had some differences in the route of administration, dosage, dosage form and type of drugs. Route of administration Outpatients with oral-based, infants with intravenous drip-based; part of the respiratory system drug dosage is too large, the use of antibacterials inpatients choose a higher starting point, the use rate, the combined use rate is also more high. Conclusion: Although pediatric drug structure of the hospital is basically reasonable, the results of the investigation show that intravenous administration has gradually become the mainstream in children's medication. In order to ensure the safety of medication, rational use of antimicrobial agents (or combination) and dosage of children Scientific standardization deserves attention and discussion.