新乡市县级医院糖尿病患者的用药情况调查

Drug Use in the Control of Blood Glucose in Patients with Diabetes Mellitus in Xinxiang Hospitals

目的:对市县级医院糖尿病患者的用药情况进行调查,了解市县级医院内分泌科的患者在住院期间血糖管理上的总体用药观念,为医院管理糖尿病患者的血糖提供参考。方法:采用问卷调查的方式,选取新乡市县级和市级12所医院的内分泌科医生与患者为调查对象。结果与结论:市级医院医生在药物选择上,选择胰岛素的占85%,在胰岛素品牌上,外企占66%;在胰岛素类别上,胰岛素类似物占63%;县级医院医生分别占83%,52%,35%;市级与县级医院病人在药物选择上,胰岛素分别占88%和57%。市级医院医生使用外企生产的胰岛素为66%,国内生产的胰岛素为34%;县级医院医生使用外企生产的胰岛素为52%,国内生产的胰岛素为48%;市级医院的用药条件要优于县级医院。

Objective： To investigate the conditions of drug use in the city and county hospitals on patients with diabetes, to understand the overall concept of drug use in blood sugar management on patients in endocrinology department of the city and county hospitals, to provide references for blood glucose on patients with diabetes management. Methods： The questionaires were used to investigate doctors and patients in the endocrinology department of 12 hospitals in Xinxiang city and county. Results and Conclusion： For the municipal doctor, in the drug of choice, selection of insulin accounted for 85%, in the brands of insulin, foreign invested enterprises accounted for 66%, in the category of insulin, insulin analogues accounted for 63%; while for county hospital doctors the rates were 83% and 52%, 35%; for municipal patients, in the choice of drugs, insulin accounted for 88%, while for county patients, insulin acounted for 57%. Municipal doctors chose 66% foreign insulin and 34% domestic insulin; the rates were 52% and 48% separately for county doctors. the conditions of drug use in municipal hospital is superior to those in the county hospital.