我院儿童病院2012-2016年处方合理性评价

发布时间：2018-03-27 18:31

本文选题：儿童　切入点：处方分析　出处：《中国药房》2017年26期

【摘要】：目的:为儿科临床合理、有效、经济用药提供参考依据。方法:随机抽取我院儿童病院2012年5月-2016年4月处方9 771份,对处方用药品种类、处方金额、注射剂使用率、基本药物使用率、临床诊断、不合理用药情况、抗菌药物使用情况等进行统计分析。结果:在9 771张处方中,平均每张处方用药2.91种,平均处方金额77.10元,注射剂使用率为57.11%,国家基本药物使用率为67.80%。临床诊断以呼吸道疾病为主(84.17%)。不合理处方284张(2.91%),其中不规范处方156张、不适宜处方165张、超常处方65张。抗菌药物使用率为18.25%,其中头孢西丁钠注射液使用率(15.48%)最高,但其药物利用指数(0.58)较低。支气管炎患者微生物送检率(45.10%)较低。结论:我院儿童病院处方合格率高于原卫生部处方合格率95%的规定,抗菌药物使用率和注射剂使用率较高。今后还应加强处方点评工作,促进处方规范与合理用药,保证临床用药安全、有效、经济。
[Abstract]:Objective: to provide reference for rational, effective and economical use of drugs in pediatrics. Methods: 9,771 prescriptions were randomly selected from our hospital from May 2012 to April 2016. The utilization rate of essential drugs, clinical diagnosis, irrational use of drugs and use of antimicrobial agents were statistically analyzed. Results: among the 9 771 prescriptions, the average number of prescriptions per prescription was 2.91, and the average sum of prescriptions was 77.10 yuan. The utilization rate of injection was 57.11, and the rate of national essential drugs was 67.80.The clinical diagnosis mainly consisted of respiratory diseases, and there were 284 irrational prescriptions, including 156 prescriptions and 165 unsuitable prescriptions. The utilization rate of antimicrobial agents was 18.25, of which the utilization rate of cefoxitin sodium injection was 15.48%. The microbial examination rate of bronchitis patients was 45.10%. Conclusion: the qualified rate of prescriptions in our hospital is 95% higher than that in the original Ministry of Health. The utilization rate of antimicrobial agents and injections is high. In the future, it is necessary to strengthen the evaluation of prescriptions, promote prescription standardization and rational use, and ensure the safety, efficiency and economy of clinical drug use.
【作者单位】：陕西省人民医院药学部;陕西省人民医院儿保科;
【基金】：陕西省自然科学基础研究计划项目(No.2016JM8006)
【分类号】：R95

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