[關(guān)鍵詞]
[摘要]
目的 調(diào)查灤南縣婦幼保健院2009—2013年兒科住院輸液處方不合理用藥的情況。方法 通過回顧性分析灤南縣婦幼保健院2009—2013年兒科住院輸液處方,統(tǒng)計(jì)并分析其中的不合理用藥及聯(lián)合用藥情況。結(jié)果 2009—2013年兒科住院輸液處方為11 456張,其中兒科總的處方為12 874張,輸液處方占兒科總處方單的88.99%;聯(lián)合用藥為7 576張,占整體調(diào)查處方總數(shù)的58.84%??偣舶l(fā)現(xiàn)不合理的輸液處方用藥單280張,占調(diào)查輸液處方總數(shù)的2.44%,占住院總處方數(shù)的2.17%。主要的不合理用藥為聯(lián)合用藥種類不當(dāng),用量、用法不當(dāng)以及重復(fù)給藥。結(jié)論 灤南縣婦幼保健院兒科住院處方中,靜脈輸液處方比例較大,且聯(lián)合用藥情況普遍,存在用法、用量不當(dāng)和重復(fù)給藥現(xiàn)象。應(yīng)該加強(qiáng)行政管理手段,嚴(yán)格把關(guān)藥物的使用,同時不斷提高醫(yī)生的專業(yè)水平,并利用多種載體進(jìn)行強(qiáng)化宣傳以提高醫(yī)院各級醫(yī)生的合理用藥觀念。
[Key word]
[Abstract]
Objective To investigate the conditions of unreasonable medicine used for infusion formulas in Pediatric Inpatient Department of Luannan County Maternity and Children Health Hospital from 2009 to 2013. Methods By retrospectively analyzing the infusion formulas in Pediatric Inpatient Department from 2009 to 2013, the unreasonable medicine and drug combination conditions were recorded and investigated. Results There were 11 456 infusion formulas in Pediatric Inpatient Department during 2009-2013, accounted for 88.99% in total prescriptions (12 874). And there were 7 576 prescriptions, accounted for 58.84% in total prescriptions. There were 280 unreasonble medicine prescriptions in total, accounted for 2.44% in total prescriptions and 2.17% in inpatient prescriptions. The main types of unreasonable medicine were irrational drug combination, improper quantity, and incorrect method, as well as repeated adminstration of medicine. Conclusion Among the prescriptions in Pediatric Inpatient Department of Luannan County Maternity and Children Health Hospital, vein infusion formulas take up for a larger part of them, and it’s common use of drug combination here, also the improper quantity, incorrect method, and repeated use of medicine existed. In order to enhance the reasonable medicine conception of doctors, administrative management should be strengthen, so as to be strict with drug use, improve the professional standards of doctors at the same time, and propagandize all the requirements through media for improving the concept of doctors with the rational use of medicines in some ways.
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