某院儿科门诊患者用药情况调查分析

The Investigation and Analysis of Drug Use in the Pediatric Clinic of One Hospital

目的调查分析某院儿科门诊用药处方指标及抗菌药物用药情况,以期为临床用药提供参考与警示,并籍此呼吁医疗机构关注儿童用药。方法根据某院2008～2010年HIS管理查询系统提供的门诊处方资料及随机抽取的电子处方信息,参考2011版《三级综合医院医疗质量管理与控制指标》项下的合理用药指标,进行统计分析。结果儿科门诊患者每次就诊平均用药品种数约为3.55种,每次就诊平均药品费用72.6～87.58元,就诊使用注射药物的百分率约为77.46%,使用国家基本药物的百分率约49.68%,就诊使用抗菌药物的百分率为64.09%～65.75%,两联以上使用抗菌药物比例达30%以上。结论儿童用药过度偏重静脉给药,抗菌药物使用的合理性有待引起足够的重视。

Objective To investigate and analysis the medicine prescription indicators and antimicrobial drugs in the pediatric clinic of one hospital, so as to provide reference and caution for clinical medication, and calls for attention to children＇s drug treatment. Methods To obtain outpatient prescription provided by HIS data, and a random sample of electronic prescribing information in one hospital from 2008 to 2010, refer to 2011 edition of ＂three-level general hospitals of medical quality management and control indicators ＂ and statistical analysis the indicators of drug treatment. Results The average number of drugs were 3.55 species in each pediatric outpatient visit, the average drug cost per treatment was 72.6 - 87.58 yuan, the percentage of injecting drug used was 77.46%, national essential medicines used in the percentage was 49.68%, treatment with antibiotics was 64.09 ~ 65.75%, the ratio of two or more use of antibiotics was more than 30%. Conclusion The children outpatient prescription was over-emphasis on intravenous medicines use, reasonable use of antibiotics should be taken enough attention seriously.