重庆农村贫困地区村卫生室处方浅析

Analysis on Prescriptions in Rural Clinics in Poverty-stricken Area of Chongqing

目的:了解重庆市某国家级贫困县农村卫生室处方情况和存在问题,为规范农村医师用药行为和促进新型农村合作医疗的顺利开展提供依据。方法:采用社会学调查的方法收集2007年6月～2008年6月重庆市某县农村卫生室962份处方资料,用描述性统计方法从就诊人员、疾病诊断、药物使用几方面进行描述和分析。结果:青壮年和普通疾病患者为农村卫生室的主要就诊人群;中药使用较少;部分处方书写不规范;抗生素、激素和注射药物滥用情况突出。结论:应进一步加强处方管理及对农村医师的培训,促进农村贫困地区合理用药。

OBJECTIVE： To probe into the status quo and problems of the prescriptions of rural clinics in a national level poverty- stricken county so as to provide reference for standardizing rural physicians＇ drug use behavior and facilitating a smooth development of new rural cooperative medical care. METHODS： A total of 962 prescriptions from June 2007 to June 2008 in rural clinics of a county in Chongqing municipality collected by sociological investigation were described and analyzed in respect of the structure of patients, diagnoses of diseases and drug use by descriptive statistical method. RESULTS： The pa- tients visiting rural clinics were mainly young adults and patients with common diseases; the use of Chinese traditional medicine was on the low side; the writing of some prescriptions were nonstandard; and abuse of antibiotics, hormones and injections were widespread. CONCLUSION： Prescription management and the training of rural physicians should be strengthened to promote the rational drug use in rural poverty-stricken area.