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目的:分析抗生素在急诊内科中的应用情况,为加强临床合理用药提供参考。方法:从金华市中心医院2015年1月~12月急诊内科处方中随机抽选600张处方,分析抗生素使用率、所使用的抗生素种类、与用药合理性。结果:600张急诊内科处方中抗生素处方共263张,占43.83%;其中单用抗生素处方191张,占所有抗生素处方的72.62%;急诊处方中使用最多的抗生素种类为头孢菌素类,占43.35%,其次为喹诺酮类,占34.98%,青霉素类居第三位,占21.67%;急诊抗生素使用中主要存在选药不正确、配伍不正确、给药方式不正确、溶媒不对等不合理用药现象的处方共49张,占18.63%。结论:急诊内科抗生素处方比例较高,存在某些不合理用药现象,应采取相应措施促进抗生素的科学应用。
OBJECTIVE: To analyze the application of antibiotics in emergency medicine and provide reference for strengthening the clinical rational use of medicine. Methods: 600 prescriptions were randomly selected from emergency medical prescriptions of Jinhua Central Hospital from January to December 2015 to analyze the antibiotic usage, the type of antibiotics used and the rationality of medication. Results: There were altogether 263 antibiotic prescriptions in 600 emergency medical prescriptions, accounting for 43.83% of the total. There were 191 antibiotic prescriptions alone, accounting for 72.62% of all antibiotic prescriptions. The most commonly used antibiotic prescriptions in emergency prescriptions were cephalosporins, accounting for 43.35% %, Followed by quinolones, accounting for 34.98%, penicillins ranked third, accounting for 21.67%; emergency use of antibiotics in the main choice of medicine is not correct, compatibility is not correct, the mode of administration is not correct, the solvent is not equal to the phenomenon of irrational use of drugs A total of 49 prescriptions, accounting for 18.63%. Conclusion: The proportion of prescriptions for antibiotics in emergency medicine is high, and some irrational drug use phenomena exist. Therefore, appropriate measures should be taken to promote the scientific application of antibiotics.