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目的:了解全国六个城市抗茵药物专项整治活动前后的改进效果。方法:利用《医院处方分析合作项目》数据,分别对六个城市抗菌药物专项整治活动前(2010年)、整治后(2011年),门诊、急诊和住院患者使用抗茵药情况进行统计分析,采用Foxpr08.0数据库软件进行数据处理。结果:整治后,六城市不同级别医院的抗茵药金额占全部处方金额的比例、抗茵药使用率等指标较整治前均有所下降;药品使用频次占使用抗菌药人数的构成比,六城市均以头孢菌素类药最高;因地域不同,不同药品使用金额占使用抗茵药金额的构成比居第一位的药物也有所不同。抗茵药使用金额构成比居第一位的科室是呼吸科。结论:开展抗茵药物专项整治活动,对于促进临床合理使用抗茵药、优化该药临床应用结构、控制药费增长等具有重要意义。
Objective: To understand the improvement effect before and after the special rectification activities of anti-inflammatory drugs in six cities nationwide. Methods: By using the data of “prescription analysis of hospital prescriptions”, statistical analysis was conducted on the use of anti-inflammatory drugs in six cities before (2010), after remediation (2011), outpatients, emergency departments and inpatients, Using Foxpr08.0 database software for data processing. Results: After remediation, the indexes of anti-drug amount in all levels of hospitals in six cities accounted for the proportion of the total prescription amount, and the indexes of anti-drug use rate declined compared with those before remediation. The frequency of drug use accounted for the proportion of the number of antibacterial drugs used, Cities are the highest cephalosporins; due to geographical differences in the amount of different drugs accounted for the use of anti-drug amount of the composition of the first place than the drug is also different. Anti-drug use amount constitutes the first place than the Department of Respiratory Medicine. Conclusion: To carry out special rectification activities of anti-inflammatory drugs is of great significance to promote the rational use of anti-inflammatory drugs clinically, to optimize the clinical application of the drug and to control the increase of drug costs.