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目的了解住院患者用药现况,推动临床合理用药。方法抽取处方病历,采用数学原理分别进行统计处理,按照国家卫生计生委有关法规文件及医院合理用药管理制度,进行评价分析。结果平均每份病历用药9.72种,临床诊断与用药符合率为99.3%,抗菌药物使用率为58.9%。有病历存在输液浓度过大、用药依据不够、随意用中成药、预防用抗菌药物欠规范等问题。结论医院有待于加强临床用药管理,进一步提高临床用药的合理性。
Objective To understand the current status of inpatient medication and promote rational drug use in clinic. Methods The prescription medical records were drawn and the mathematical principles were respectively used for statistical treatment. According to the relevant laws and regulations of the State Health and Family Planning Commission and the rational drug administration system of the hospital, the evaluation was conducted. Results A total of 9.72 medical records per case, clinical diagnosis and drug compliance rate of 99.3%, antibacterial drug use rate was 58.9%. Medical records exist in the infusion concentration is too large, not based on medication, free to use proprietary Chinese medicines, prevention of non-standard antibacterial drugs and other issues. Conclusion The hospital needs to strengthen the management of clinical medication and further improve the rationality of clinical medication.