摘要
目的:了解医改后我院抗生素使用状况,指导临床合理用药。方法:随机抽取全院2003年6月～2004年6月的门诊处方样本3660份,依据统计学方法归纳制表并进行综合分析。结果:抗生素使用比率为36.48%,基本趋势同国内同等城市水平(约35%)。抗生素分类使用状况总体符合医保规定。抗生素联合用药比例为17%,单一用药比例达83%,属基本合理范围。部分医师习惯于经验用药,药敏试验率仅为2.17%,与卫生部的要求(≥70%)差距较大。结论:医改后,我院临床用药以医保药品为主,合理用药是主流,但也存在一定问题,宜制定相应措施,提高用药合理性和安全性。
Objective:To understand the situation of the antibiotics used in outpatients of our hospital after medical reformation and to offer guides for rational use of antibiotics in clinical setting.Method:3660 prescription samples of outpatients were randomly collected from June 2003 to June 2004 and filled in tabulations according to statistics.Then a comprehensive analysis was conducted.Result:The application rate of antibiotics was 36.48%,which was status the same as the level of the cities of same status in domestic(approx.35%),and coincident with the regulations of medical-insurance.The rate of concomitant administration was 17%,among which most were basically rational.However,some treatments were mainly depended on experiences resulting in the testing rate of drug bacterial resistance was only 2.17%,which was much lower than the demand of the Ministry of Health.Conclusion:The drugs of medical-insurance were mainstream drugs used in our hospital after medical reformation.Rational use of drugs was the main trend,however,some problems were still existent.Some corresponding should be worked out in order to improve the rationality and safety in the clinical drug application.
出处
《中国药物应用与监测》
CAS
2005年第3期9-11,共3页
Chinese Journal of Drug Application and Monitoring
关键词
抗生素
门诊
合理用药
Antibiotics
Outpatient
Rational use of drugs
