社区医院门诊使用药品动态监测结果分析

Analysis of dynamic monitoring results of drug use in community hospitals

目的了解北京城区某社区医院2016年门诊药品用药动态,促进社区临床合理用药。方法收集2016年北京城区某社区医院每月销售前20位的药品记录,对药品种类和出现的频次等情况进行统计分析。分析城区社区疾病谱,为"三医联动"、"分级诊疗"和社区用药目录的设定提供参考。结果药品涉及了7大类共计26个品种,降压类药物累计出现的频次最高(66次),其次是降糖药(55次);该社区医院慢性病疾病谱依次为高血压、糖尿病、骨关节病、冠心病和脑血管病。结论社区常见的疾病以四种慢性病为主,在分级诊疗的医改中至少这四种疾病的用药需要社区医院和三级医院同步。

Objecttive Objective to understand the situation of outpatient medication in community hospital in 2016,and to provide the basis for community medicine catalogue.Methods Collection of community hospital in 2016 monthly sales of the top 20 drug records,the types of drugs and the frequency of the occurrence of statistical analysis.Results The drug involved 7 categories a total of 26 varieties of antihypertensive drugs accumulated in the highest frequency（66）,followed by hypoglycemic drugs（55）;state monitoring monthly drug drug sales ranked the top 3,can monitor the growth of the drug;spectrum of chronic disease in the community hospital in hypertension.Diabetes,bone joint disease,coronary heart disease and cerebrovascular disease.Conclusion Common diseases in the community to four kinds of slow disease,at least the use of these four diseases requires community hospitals and general hospitals.