儿童上呼吸道感染用药处方的合理性分析

Rationality Analysis of Drug Prescription for Children with Upper Respiratory Tract Infection

目的探究儿童上呼吸道感染用药处方的合理性。方法选取我院儿科2017年1月至2019年1月治疗的上呼吸道感染患儿547例,回顾性分析其临床资料,统计其用药处方的药物种类、应用合理性以及不合理原因等数据,并对其进行分析。结果在本组547例患儿开具的1259例处方中,中成药使用率(32.57%)最高,其次为抗病毒药物(27.80%)和解热镇痛药物(26.05%);所有处方的不合理率为17.55%,不合理原因主要为抗菌药物起点高(24.89%)、重复用药(17.65%)、给药方式不合理(13.12%)和中西药配伍不合理(12.67%)等。结论我院儿童上呼吸道感染用药处方中合理性尚可,但存在着抗菌药物起点高、重复用药、给药方式不合理等现象,仍需需要进一步完善。

Objective To explore the rationality of prescription for children with upper respiratory tract infection.Method 547 children with upper respiratory tract infections treated in pediatrics department of our hospital from January 2017 to January 2019 were selected.Their clinical data were retrospectively analyzed.The data of drug types,rationality of drug use and unreasonable reasons were collected and analyzed.Result Among the 1259 prescriptions issued by 547 children in this group,the use rate of Chinese patent medicine(32.57%)was the highest,followed by antiviral drugs(27.80%)and antipyretic and analgesic drugs(26.05%).The unreasonable rate of all prescriptions was 17.55%.The main unreasonable reasons were high starting point of antibiotics(24.89%),repeated drug use(17.65%),unreasonable mode of administration(13.12%)and Unreasonable Compatibility of Chinese and Western medicines(12.67%),etc.Conclusion The rationality of prescriptions for children with upper respiratory tract infections in our hospital is still acceptable,but there are some phenomena such as high starting point of antibiotics,repeated use of drugs and irrational administration methods,which still need to be further improved.