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目的 通过实行临床用药督导制度了解我院抗菌药物应用情况。方法 采取随机抽样 ,对我院2 0 0 1年 6月至 12月期间医院临床用药督导专家组督导药历进行分析。结果 共调查 396份药历 ,合理应用抗菌药物药历 2 5 8份 (6 5 15 % ) ,基本合理 99份 (2 5 % ) ,不合理 39份 (9 85 % ) ,与 2 0 0 0年相比 ,抗菌药物使用率下降了 8% ,医院每床日药费下降了 3 34% ,医院药品收入占总收入比例下降 3 2 5 %。结论 临床用药督导促进了抗菌药物合理应用。
Objective To understand the application of antibacterials in our hospital through the implementation of clinical drug supervision system. Methods A random sample was used to analyze the supervised medical records of the expert group supervised by clinical medicine supervisors from June to December 2001 in our hospital. Results A total of 396 medical records were investigated. The rational use of antimicrobial drugs was 285 (65.5%), 99 (25%) were reasonable, 39 (9 85%) were unreasonable, Compared with the previous year, the antimicrobial use rate dropped by 8%, the daily drug cost per bed in the hospital decreased by 344%, and the proportion of hospital drug revenue in the total income decreased by 325.5%. Conclusion Clinical medication supervision promotes the rational use of antimicrobial agents.