某三甲医院呼吸科药物使用情况调查分析

Analysis of Drug Utilization in Anapnea Department

目的了解我院呼吸内科用药的情况,为医院药品管理和临床合理用药提供依据。方法调查我院医院697例呼吸内科病人的基本用药情况,用DDD分析法和消耗金额统计法,分析用药频率和药物费用。结果在调查统计的697份病例中男性多于女性,年龄以51～60岁居多;DDDs排序前3位的药物为左氧氟沙星、氨溴索、美洛西林钠舒巴坦;药物总费用占总住院费的63.77%,抗微生物药物销售金额占药品总销售金额的46.78%;Ⅱ联用药占药物联用的47.33%。结论我院呼吸内科用药基本合理,头孢菌素类药物在抗微生物药物的临床使用中占主导地位,随着抗生素的大量使用,细菌耐药性不断发展,应严格按照《抗菌药物临床应用指导原则》合理使用。

Objective To investigate the trend in drug use in Anapnea Department and to provide the guideline of using drug reasonablely.Methods Statistics of dosage and variety of drug use in Anapnea Department during May 2009 to September,with DDD analysis method and money-consuming analysis.Results In a survey of 697 cases with men than women,aged between 51 to 60 years old.Levofloxacin,Ambroxol,Mezlocillin sodium and sulbactam are the three toppest used according to DDD method.Antibiotics sales accounted for 46.78% of total sales.Conclusion Use of Cephalosporins occupy a leading position in antibiotics.With the extensive use of antibiotics,development of bacterial resistance is on the rise.Use of antibiotics should strictly follow The Guiding Principles for Clinical Use of Antibacterial Drugs.