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目的:分析中山市南部镇区医院国家基本药物在儿科患者中使用情况。方法:通过自制问卷调查、上门走访等方式对中山市南部镇区医院的儿科医生、患儿家属,统计国家基本药物的使用率。结果:有儿童用药说明书品种共207个,占比71.88%,新生儿用药说明书仅19个,占比6.6%。一级类别儿童可用药均包含儿童用药说明书,共31类药物,占比100%;98类药有明确使用剂量,22类药物为非普适性药物。有儿童用药说明书药物中,抗微生物药、抗寄生虫病药、镇痛解热类药、调节水电解质平衡类药使用频度高,有新生儿用药说明书药物中仅抗微生物药的使用频率高。儿童中成药以颗粒剂为主。结论:现版国家基本药物目录存在缺陷,无法满足儿科患者需求,还需完善儿童基本药物目录及其相关信息,加大研发补偿。
OBJECTIVE: To analyze the use of national essential medicines in pediatric patients in the Southern Township Hospital of Zhongshan City. Methods: Through the self-made questionnaire survey and on-site visits, we used pediatricians and their children’s families in the southern township hospitals of Zhongshan City to calculate the utilization rates of national essential medicines. Results: A total of 207 varieties of instruction manual for children, accounting for 71.88%, only 19 newborns medication instructions, accounting for 6.6%. A class of children available drugs are children’s medication instructions, a total of 31 categories of drugs, accounting for 100%; 98 kinds of drugs have a clear dose, 22 kinds of drugs are non-universal drugs. Drugs for children, anti-microbial drugs, anti-parasitic drugs, analgesic antipyretics, regulating the use of water and electrolyte balance of high frequency of use, there are neonatal drug instructions antimicrobial drugs only high frequency of use . Children’s proprietary Chinese medicine granules. Conclusion: The existing national essential medicines list is deficient and can not meet the needs of pediatric patients. It is also necessary to improve the catalogs of children’s essential medicines and their related information and increase research and development compensation.