摘要
目的分析抗生素在急诊内科患者中的使用情况。方法收集2014年6月—2016年6月乐山市人民医院收治的急诊内科患者500例,就诊后医务人员通过对其临床症状进行初步的诊断,开具药物治疗处方,同时,进行致病菌检验,验证治疗手段。分析医生经验诊断后用药以及详细的医学检验后用药的正确性,并统计患者抗生素用药情况,包括联合用药情况、给药方式以及使用种类。结果 500例患者中,有抗生素使用情况的处方为231例(46.2%),其中抗生素单项使用的处方145例(62.8%),抗生素两项联用处方57例(24.7%),抗生素三项联用处方29例(12.5%);抗生素注射使用处方203例(87.9%),抗生素口服使用处方22例(9.5%),抗生素其他给药方式处方6例(2.6%)。在经过医生的经验诊断开具处方以及经过详细的医学检查后开具的治疗处方中,两项处方相符的处方有219例,使用正确率为94.8%。231例抗生素使用处方中,使用头孢菌素类抗生素101例(43.7%),喹诺酮类抗生素71例(30.8%),青霉素类抗生素59例(25.5%)。结论抗生素在急诊内科患者治疗中的使用极为广泛,且经验诊断存在一定程度上的不合理用药,临床应予以重视。
Objective To analysis the use of antibiotics in emergency internal medicine patients. Methods From June 2014 to June 2016,500 emergency internal medicine patients admitted to the People’ s Hospital of Leshan City were collected. Patients were received drug prescription after medical staff through the preliminary diagnosis of the clinical symptoms. At the same time,the pathogenic bacteria were tested to verify the treatment. The medication correctness was analyzed,and the useing of antibiotics in patients,including the combined drugs,drug delivery methods and types were analyzed. Results Of the500 patients,there were 231 patients（ 46. 2%） with antibiotic use. Among them,145 cases（ 62. 8%） were treated with single antibiotics,57 cases（ 24. 7%） were treated with two antibiotics, and 29 cases（ 12. 5%） were treated with three antibiotics. 203 cases（ 87. 9%） were treated with antibiotics injection,22 cases（ 9. 5%） were treated with oral antibiotics,6cases（ 2. 6%） were treated with other methods. The correct rate of use antibiotics was 94. 8%（ 219/231）. 101 cases（ 43. 7%） were treated by cephalosporins,71 case（ 30. 8%） were treated by quinolones,59 cases（ 25. 5%） were treated by penicillin antibiotics. Conclusion The use of antibiotics in the treatment of emergency internal medicine patients is very wide,and the experience of diagnosis still exist in a certain extent,it should be paid attention.
出处
《实用心脑肺血管病杂志》
2016年第B12期175-176,共2页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词
抗菌药
急诊处理
处方不当
Anti-bacterial agents
Emergency treatment
Inappropriate prescribing
