我院心脑血管疾病处方中国家基本药物使用情况分析

Analysis of the Utilization of National Essential Medicines in Cardiovascular and Cerebrovascular Diseases Prescriptions in Our Hospital

目的:了解我院心脑血管疾病处方中国家基本药物的使用情况,进一步深入贯彻执行国家基本药物制度。方法:统计分析我院2013年心脑血管疾病处方中国家基本药物的配备、使用情况,并对无正当理由不首选国家基本药物的处方进行统计分析。结果:我院2013年心脑血管疾病处方累计使用药品294 269条,药品总金额为2 725.67万元,其中累计使用国家基本药物148 927条(50.61%),金额为1 112.86万元(40.83%);心脑血管类药物使用频度排前3位的是卡托普利、硝酸异山梨酯和多烯康;无正当理由不首选国家基本药物的处方占31.89%,处方累计使用药品中无正当理由不首选国家基本药物的占23.23%;不首选国家基本药物的主要原因为剂型或品种配备不适宜,占43.50%。结论:我院心脑血管疾病处方中国家基本药物使用率偏低,并且存在无正当理由不首选国家基本药物等不合理用药情况。医院应采取有效的干预措施,以提高国家基本药物的使用率,进一步贯彻执行国家基本药物制度。

OBJECTIVE： To investigate the utilization of national essential medicine in cardiovascular and cerebrovascular dis- eases prescriptions in our hospital, and to further deepen the implementation of National Essential Medicine System. METHODS： The allocation and utilization of national essential medicine in cardiovascular and cerebrovascular diseases prescriptions were ana- lyzed statistically in our hospital in 2013. Prescriptions in which national essential medicines were not the first choice without justi- fied reasons were also analyzed statistically. RESULTS ： The cumulative use of drugs in cardiovascular and cerebrovascular diseases prescription was 294 269 in 2013, and the total amount of drugs were 2 725.67 yuan. The cumulative use of national essential medi- cines was 148 927 （50.61%）, and the amount of drugs were 1 112.86 yuan （40.83%）. The top three drugs in the list of frequency were captopril, isosorbide esters and Duoxikang. The prescriptions in which national essential medicines were not the first choice without justified reasons accounted for 31.89%, and the drugs among which national essential medicines were not the first choice without justified reasons accounted for 23.23%. The main reason for national essential medicines not used as first choice was unfa- vorable dosage forms or specie allocation, accounting for 43.50%. CONCLUSIONS： The utilization ratio of national essential medi- cines is low relatively in cardiovascular and cerebrovascular diseases prescriptions in our hospital. There is irrational drug use, as na- tional essential medicines were not the first choice without justified reasons. Our hospital should take effective measures to improve the utilization ratio of national essential medicine and further deepen the implementation of National Essential Medicine System.