我院急诊用药结构分析

Consumption Structure of Emergency Drug Use in Our Hospital

目的:了解我院急诊处方用药情况,为提高急诊处方质量、加强用药合理性监管提供科学依据。方法:应用我院计算机系统统计2007年5月～2008年5月急诊用药情况,按消费结构、消费金额、用药途径进行分析。随机抽查2007年5月～2008年5月急诊处方6 459张,对其中抗感染药的使用进行统计和分析。结果:抗感染药金额消耗占第1位,占总销售金额的50.2%,其次为电解质、酸碱平衡及营养药,占总销售金额的18.3%,心脑血管用药、呼吸系统用药、血液系统用药、消化系统用药分列第3、4、5、6位,分别占药品总金额的15.5%、6.8%、3.5%、2.9%。6 459张急诊处方中应用抗感染药处方2 130张,抗感染药使用率为32.98%。结论:我院急诊用药情况基本合理,符合急诊用药特点,但不合理用药情况仍需引起重视。

OBJECTIVE： To probe into the emergency drug use condition in our hospital so as to provide scientific basis for quality improvement of emergency prescriptions and control of rational drug use; METHODS： Hospital computer system was applied for the statistically analysis of the consumption structure, consumption sum and route of administration of emergeney drugs in our hospital. 6 459 emergency prescriptions from May 2007 to May 2008 in our hospital were randomly sampled for the statistical analysis of anti - infectives. RESULTS： Anti - infectives took the lead in terms of consumption sum, aecounting for 50.2 % of the total ; followed by drugs for electrolyte balance and aeid - base balance and nutriceuticals （18.3%）; Drugs for cardio-or cerebrovascular diseases, respiratory system, blood system and digestive system ranked at 3rd, 4th, 5th and 6th place respectively, accounting for 15.5%, 11.5%, 6.8%, and 3.5%, respectively. 2 130 （32.98%） out of 6 459 prescriptions involved use of anti - infectives. CONCLUSION： The emergency drug use in our hospital was basically rational and consistent with the characteristics of emergency drug use. However, the condition of unreasonable drug use was still worthy of attention.