2007年我院急诊处方调查分析

The research of hospital emergency prescription in 2007

目的:了解我院急诊处方的状况,为促进急诊合理用药及药房储药工作提供参考。方法:随机抽取我院2007年1～9月的西药门诊急诊处方5036张,利用Excel软件对处方进行分类、统计。结果:5036张急诊处方中,处方分布以内科、儿科、外科为主;处方的药物组成以抗感染类最高(29.03%),用药途径中以注射给药居首,并以速效的静脉滴注为主(83.62%);存在药物相互作用而不宜合用的处方143张(2.84%)。处方用药以1～4种为主(占总处方81.43%),平均每张处方用药3.11种。处方药物金额以200元以下为主(89.95%),平均每张处方92.78元。结论:我院急诊处方用药少而精,但合理联用药物仍需进一步提高。

Objective： In order to promote emergency rational drug use and to provide reference for the reserves of drugs, we investigated the situation of the emergency prescriptions in our hospital. Methods：A total of 5 036 emergency prescriptions in our hospital from Jan.of 2007 to Sep.of 2007 were randomly selected and classified statistically by using Excel. Results： The main route of the 5 036 emergency prescriptions were the medical prescriptions,the pediatric prescriptions and the surgical prescriptions.The medicine which ranked first was anti-infectives （29.03%）.Intravenous infusion ranked first and intravenous drip available was the main route of administration （83.62%）. There were 143 cases of un- reasonable drug interactions ,the rate was 2.84%. There were 1 -4 kinds medicines in the main route of the prescriptions and the average species of drug were 3.11. The average expenditure were 92.78 RMB and the most amount of the prescriptions was 200 RMB below （89.95%）. Conclusion： The medicines in emergency prescriptions in our hospital is small amount and accurate,but the reasonable drug combination are still elevated.