门诊处方用药情况调查与分析

Investigation and Analysis of Outpatients' Prescriptions

目的了解基层医疗及慢性病防治机构门诊处方用药情况,为临床合理用药提供参考。方法随机抽取龙川县慢性病防治站2007年1-12月份门诊处方6 000张,主要调研合理用药指标和限定日剂量,采用Excel表单完成统计分析。结果每次就诊人均用药2.84种;26.87%的病人使用了抗菌药;17.44%的病人使用了针剂;喹诺酮类、头孢菌素类、大环内酯类居于用药频度前3位;抗菌药联合应用率为23.95%,以口服给药为主;疗程多在7 d以内。结论门诊处方用药基本合理,但对医生仍需加强责任感和合理用药培训,减少不合理用药现象,真正实现以病人为中心的服务理念。

Objective To analyze drug use as evidenced from the outpatients＇ prescriptions in some local clinics for preventing chronic diseases, to establish reference points for clinical drug usages. Method Randomly sampling 6 000 outpatients＇ prescriptions in the period of January through December, in 2007. Methodology was mainly based on selected drug use indicators and defined daily dosage, and statistics were obtained by Excel. Results The average number of drugs prescribed was 2.84; antibacterial agents and injections were administered to 26.87% and 17.44% of the patients, respectively. Quinolones, cephalosporins and macrocyclic laetones ranked top three in medication frequency. Combined use of antibacterial agents covered up 23. 95%, mostly in oral administration, with the treatment shorter than 7 days. Conclusion The medication for the outpatients was generally rational, but it＇s necessary to train the physicians to strengthen their sense of responsibilities and reasonable prescriptions, to reduce irrational administration, and to make the service truly patientoriented.