论文部分内容阅读
目的调查小儿临床合理用药水平,提出不合理用药原因与解决方法。方法回顾性分析我院自2009年3月至12月儿科门诊及住院开具处方8652张,对8652张处方从联合用药和不合理用药两方面进行分析,调查分析不合理用药的原因及相关对策。结果①本组不合理用药处方498张,占5.76%。②本组联合用药2种处方4633张,占73.79%:3种处方865张,占13.78%;4种609张,占9.69%;5种115张,占1.83%;5种以上57例,占0.91%。抗生素处方总数5431张,占全部联合用药处方的86.49%。③本组联合用药不当、药物选择不当、用法不当处方分别为275(55.22%)、102(20.48%)、121(24.30%),占输液处方比例分别为4.22%、1.56%、1.85%。结论小儿临床不合理用药情况普遍存在,联合用药不当、药物选择不当、用法不当为主要原因,加强药物使用监督、严格遵守药物使用指征等可降低不合理用药发生率。
Objective To investigate the clinical rational use of drug in children and to put forward the causes and solutions of irrational drug use. Methods A retrospective analysis of pediatric outpatient and inpatient hospital from 8 March 2009 to December 8652 prescriptions, 8652 prescriptions from the combination of drug and irrational use of two aspects of analysis, analysis and analysis of the causes of irrational drug use and related countermeasures. Results ①In this group, 498 prescriptions were irrational, accounting for 5.76%. (2) There were 4633 prescriptions in combination with 2 prescriptions, accounting for 73.79%: 865 prescriptions of 3 prescriptions, accounting for 13.78%; 4 kinds of 609 prescriptions accounting for 9.69%; 5 kinds of 115 prescriptions accounting for 1.83% 0.91%. The total number of antibiotic prescriptions was 5431, accounting for 86.49% of the total combination prescriptions. ③ The combination of improper medication, improper drug selection, improper use of prescriptions were 275 (55.22%), 102 (20.48%), 121 (24.30%), accounting for 4.22%, 1.56%, 1.85% respectively. Conclusion Irrational drug use in children is widespread. The improper combination of drugs, improper drug selection and improper use are the main reasons. The supervision of drug use and strict compliance with drug use indications can reduce the incidence of irrational drug use.