我院门诊处方基本指标评价及用药分析

Analysis of Prescriptions Indicators and Drug Use in Our Hospital

目的对医院门诊处方合理用药进行国际指标调研分析,了解门诊处方抗菌药物使用情况,提高合理用药水平。方法采用回顾性分析方法,随机抽取医院2008年第4季度每月5个工作日的门、急诊处方并进行统计评价分析。结果门诊抗菌药物使用率为26.73%,注射剂使用率为11.15%,基本药物处方百分率为75.35%,单张处方金额主要集中在100～500元之间(占58.04%),抗菌药物的使用以单联为主(占78.06%),抗菌药物使用不合理处方占所有抗菌药物处方的11.28%。结论门诊处方用药基本合理,抗菌药物的选用还需进一步规范,以减少药品不良反应和耐药性的发生。

Objective To study and analyze the international rational drug use（RDU） indicators and to investigate the use of antibacterial drugs in outpatient clinic of our hospital so as to improve the level of drug use.Methods With the retrospective methods,the prescriptions were randomly selected in five working days per month in the 4th quarter 2008 and the rationality and circumstances of drug use were analyzed.Results The percentage of antibacterial drugs prescribed in our outpatients was 26.73%.The percentage of injection prescribed was 11.15%.The percentage of drugs prescribed from essential drug list was 75.35%.The amount of leaflets prescribed was mainly between 100-500 yuan,accounting for 58.04%.The use of antibacterial drugs was mainly single-joint,with the ratio of 78.06%.Irrational use of prescribed antibacterial drugs accounted for 11.28%in the prescription of antibacterial drugs.Conclusion The drug use in prescriptions of the outpatients departments is rational on the whole,but the choice of the antibacterial drugs should be further standardized in order to reduce their adverse reactions and the occurrence of drug resistance.