宁波市城乡全科医师治疗哮喘急性发作用药的现状调查与分析

发布时间：2018-06-13 05:51

本文选题：全科医师 + 哮喘急性发作　；参考：《中国药房》2015年02期

【摘要】：目的:评价基层医院全科医师哮喘急性发作用药的规范化程度。方法:随机选取宁波市城区和乡村各23家社区卫生服务中心,调查分析全科医师对哮喘急性发作的治疗用药状况。结果:城区与乡村社区卫生服务中心抗菌药物使用的比例均较高,分别为79.72%(401例)、82.16%(396例)(χ2=0.95,P0.05);静脉使用地塞米松注射液分别有81例(16.10%)、173例(35.89%)(χ2=50.37,P0.01);静脉使用茶碱分别有59例(11.73)、256例(53.11%)(χ2=193.77,P0.01);吸入治疗用药分别有368例(73.16%)、204例(42.32%)(χ2=96.13,P0.01);对哮喘急性发作的用药规范率分别为73.16%、42.32%(χ2=96.13,P0.01),两者比较差异有极显著性统计学意义,但两者规范率都较低;后续规范化治疗分别有442例(87.87%)、182例(37.76%)(χ2=266.24,P0.01)。结论:基层医院全科医师对哮喘急性发作用药不规范,亟需加强哮喘知识及哮喘规范化治疗的管理和培训。
[Abstract]:Objective: to evaluate the standardized degree of acute asthma drug use by general practitioners in basic hospitals. Methods: 23 community health service centers in urban and rural areas of Ningbo were randomly selected to investigate and analyze the treatment and medication status of acute asthma attack by general practitioners. Results: the proportion of antimicrobial drugs used in urban and rural community health service centers was higher than that in rural community health service centers. Of the 401 cases of theophylline (79.722), there were 396 cases (蠂 ~ 20.95%, P 0.05); 81 cases of dexamethasone injection were given dexamethasone injection, and 173 cases were treated with dexamethasone injection (蠂 ~ (21) 50.37) P 0.01; theophylline were given in 59 cases (11.73) and 256 cases (P ~ (0.01) respectively; 368 cases were treated with inhaled drugs in 73.16204 cases (42.3232), respectively (蠂 ~ (96.13) P _ (0.01); the standard rates of administration of theophylline for acute attack of asthma were different. It was 73.16 and 42.32 (蠂 ~ 2 ~ 2 ~ (96.13) P ~ (0.01). The difference between them was statistically significant. However, the standardized rate of both was low, and there were 442 cases (87.87) and 182 cases (蠂 ~ (2) 266.24) (P 0.01) respectively in the follow-up standardized treatment. Conclusion: general practitioners in basic hospitals are not standardized in the treatment of acute asthma, so it is necessary to strengthen the management and training of asthma knowledge and standardized treatment of asthma.
【作者单位】：宁波市海曙区西门望春社区卫生服务中心;宁波市江北洪塘医院内科;宁波市镇海第二医院内科;宁波市江北祥星医院内科;宁波大学医学院附属医院呼吸科;
【基金】：宁波市农业创新项目基金资助项目(No.2012C91019) 中华医学会临床医学科研专项基金资助项目(No.08020480126)
【分类号】：R562.25

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