2004年我院结核病患者出院带药分析

Analysis on Discharge Medication of Tuberculosis Inpatients in Our Hospital during 2004

目的了解我院结核病患者的出院带药情况,为临床用药提供参考。方法利用限定日剂量方法统计2004年我院结核病患者出院带药的数量和金额,计算用药频度和日用药金额,并对有关数据进行分析。结果医疗保险患者的出院带药天数和金额少于非医疗保险患者;除一线抗结核药物之外,对氨基水杨酸异烟肼、利福喷丁、氧氟沙星和丙硫异烟胺的用药频度较高;联合用药以4联方案为主;辅助治疗以保肝药物为主。结论医疗保险制度对出院带药天数和金额有明显影响;对结核病患者出院带药应该注意耐药性和患者依从性。

OBJECTIVE： To study the discharge medication of tuberculosis inpatients of our hospital for the references of clinical medication. METHODS： The statistics on the quantity of drugs and the amount of money in discharge medication of the tuberculosis patients in our hospital in 2004 was conducted by defined daily dose method, and medication frequency and daily medication sum were computed and the associated data were analyzed as well. RESULTS： The quantity of drugs and the amount of money of the tuberculosis inpatients with medical insurance in discharge medication were less than those without. In addition to first class antituberculosis drugs, the medication frequencies of pasiniazide, rifapentine, ofloxacin and prothionamide were also high;4 agents consisted combined regimen was the chief form of drug combination;Liver protectants were the chief adjunctive therapy. CONCLUSIONS： Medical insurance policy has significant effect on during of administration and consumption sum in discharge medication. Attention should be paid to drug resistance and dependence in the discharge medication of tuberculosis patients.