某妇女儿童医院2012-2013年门诊基本药物使用情况分析

Analysis of the Utilization of Essential Medicines in Outpatient Department of a Women & Children's Hospital during 2012-2013

目的:了解四川双流县妇幼保健院门诊基本药物使用情况,为促进合理用药提供参考。方法:分别对2012-2013年该院门诊基本药物的种类、名称、剂型、销售金额及使用情况等数据进行统计、分析、排序,并评价用药频度(DDDs)排序列前10位的基本药物品种的可负担性。结果:该院门诊基本药物销售金额占比2013年相比2012年增加5.80%。销售金额排序列前10位的基本药物品种以抗微生物药、抗贫血药、中成药为主。康复新液相对于日薪的天数为2.12,阿莫西林钠克拉维酸钾分散片相对于日薪的天数为2.05,可负担性差,DDDs在2012年分别排第5、8位;小儿肠胃康颗粒相对于日薪的天数为2.28,醒脾养儿颗粒相对于日薪的天数为2.14,可负担性差,DDDs在2013年分别排第8、10位。结论:该院基本药物使用情况较好、呈增长趋势,但临床使用基本药物时仍应注意合理选用价格较低的同类基本药物。

OBJECTIVE：To know the utilization of essential medicines in outpatient department of Sichuan Shuangliu Maternal and Child-care Hospital,and provide reference for the rational drug use. METHODS：The types,names,formulations,consumption sum and utilization of essential medicines in the outpatient department of the hospital from 2012 to 2013 were statistically analyzed and ranked. The affordability of top 10 drugs in the list of DDDs was evaluated. RESULTS：Compared with 2012,the consumption sum proportion of essential medicines in the outpatient department of the hospital in 2013 was increased by 5.80%. The top 10 essential medicines in the list of consumption sum were mainly anti-microbial drugs,anti-anemia drugs and Chinese patent medicines. The relative daily wages of Kangfuxin solution and Amoxillin and clavulanate potassium tablets were respectively 2.12 d and 2.05 d,with poor affordability,and in 2012,they ranked the 5th and 8th in the list of DDDs;the relative daily wages of Xiaoer changweikang granule and Xingpi yanger granule were respectively 2.28 d and 2.14 d,with poor affordability,and in 2013,they ranked the 8th and 10 th in the list of DDDs. CONCLUSIONS：The utilization of essential medicines in the hospital is basically good,with a trend of increasing. However,the similar essential medicines with lower prices should be considered when essential medicines are used in the clinic.