1039例儿童上呼吸道感染处方用药构成分析与评价

Analysis and Evaluation of Medication Composition of Prescriptions on 1,039 Upper Respiratory Tract Infection Children

目的:探讨我院儿童上呼吸道感染用药处方的合理性。方法:选取佛山市顺德区第一人民医院附属陈村医院2016年8-10月儿科门诊明确诊断为上呼吸道感染的1 039例患儿,对其用药类别、给药途径、药品费用、炎症指标及复诊情况等进行回顾性分析。结果:1 039例患儿处方中,中成药处方使用最多为780例次,抗病毒药物处方672例次,解热镇痛药物处方633例次,抗菌药物处方129例次;抗病毒药物使用金额比例最高,占35.70%,中成药占27.69%;口服给药处方929例,静脉给药处方110例,静脉给药与口服给药患儿抗菌药物使用比例相近,但静脉给药患儿复诊比例高。结论:我院儿科门诊上呼吸道感染处方用药基本合理,但存在部分中成药重复用药使用和抗菌药物用药起点高、糖皮质激素静脉用药指征不明确等情况。

Objective： To explore the rationality of prescriptions in upper respiratory tract infection children. Methods： A total of1 039 upper respiratory tract infection cases at pediatric clinic of our hospital were selected as the data,and retrospectively studied their medication categories,route of administration,pharmaceutical cost,inflammation indexes and the status of return visit. Results：Chinese patent drugs were used mostly with up to 780 cases,antiviral drugs were used for 672 cases,antipyretic analgesic drugs for 633 cases,antibacterials drugs for 129 cases. Antiviral drugs costed the most with proportion of 35. 70%,and Chinese patent drugs shared27. 69%. Oral Medicines were applied on 929 cases,while intravenous injections on 110 cases. Antibacterials drugs were used with similar proportion in oral medicines and intravenous injections,but intravenous injections were caused more return visits. Conclusion：The medicine of upper respiratory tract infection prescriptions in our hospital pediatric outpatient is basic reasonable,but still existing the situations such as similar Chinese patent drugs repeated use, antibacterials drugs over grade use and medication indications of glucocorticoid intravenous administration operated with unclear objective,etc.