急性上呼吸道感染在社区卫生服务机构中的用药情况分析

Medication Prescription Practices for Acute Upper Respiratory Infection in Community Health Service Facilities

目的:分析社区卫生服务机构中急性上呼吸道感染的用药情况.为合理用药水平提供建议。方法:选择我市部分社区卫生服务中心(站),抽取其2009年2～5月诊断为急性上呼吸道感染的处方共343份,将数据输入Excel中,双人输入复核,进行数据整理,分析急性上呼吸道感染的用药情况,包括抗生素、抗病毒药物、激索及三者联用情况。结果:(1)343份处方中含抗生素的处方数为312份。抗生素的应用率为91.0%;含抗病毒药物的处方数为226份,抗病毒药物的应用率为65.9%;含激素的处方数为134份,激素的应用率为39.1%。(2)343份处方中,抗生素和激素联用的处方数为130份,占全部处方的37.9%;抗生素和抗病毒药物联用的处方数为216份,占全部处方的63.0%;抗生素和抗病毒药物及激素三者联用的处方数为103份,占全部处方的30.0%。结论:社区卫生服务机构在急性上呼吸道感染的治疗中存在不合理用药现象,有待加强。

Objective： To understand prescription-medication practices for acute upper respiratory infetion in community health service organization, to identify existing problems, and to provide suggestions for improvement. Methods： Selected the part of the community, health service centers （stations）. 343 upper respiratory infection prescriptions were randomly gathered in the CHS organization from 2009 2-5,entered data into Excel. two-input reviewed, analysised prescription-medication practices for acute upper respiratory infection, including antibiotics, antiviral drugs, hormones, and the three combined with the situation, Results：（1） In 343 copies of prescriptions, containing the prescription of antibiotics was 312 copies, the rate of application was 91.0%： the prescription of antiviral drugs was 226 copies, the rate of application was 65.9% the prescription of hormones was 134 copies,the rate of application was 39.1%.（2） The prescription of antibiotics and hormones combined was 130 copras,accounting for 37,9%; antibiotics and antiviral drugs combined was 216 copies, accounting for 63,0%; antibiotics and antiviral drugs and hormones combined was 103 copies, accounting for 30.0%. Conclusion： Community health service institutions existed the phenomenon of irrational drug use in the treatment of acute upper respiratory tract infection, needs to be strengthened.