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目的:为手足口病患儿的合理用药提供参考。方法:利用药物处方点评系统随机抽取2015年1-6月我院感染性疾病科门诊确诊为手足口病患儿处方500份,对其用药情况进行统计分析。结果:我院手足口病患儿年龄主要在3岁以下(占58.2%);135张处方使用了抗菌药物,使用率为27.0%;治疗手足口病用药以抗病毒为主,主要使用药物有利巴韦林、喜炎平、热毒宁等;注射和口服抗菌药物均以第三代头孢菌素类为主。结论:我院治疗手足口病药物选择基本合理。但由于手足口病患儿年龄较小,对药物反应性高,在治疗手足口病中合理应用抗菌药物和糖皮质激素类药物、避免滥用是目前临床需要重视和解决的问题。
Objective: To provide a reference for rational drug use in children with hand-foot-mouth disease. Methods: From January to June in 2015, 500 prescriptions of children diagnosed as hand-foot-mouth disease in infectious diseases department of our hospital were randomly selected from the prescription system of drug prescriptions, and the statistic analysis was made on their medication. Results: The age of children with HFMD in our hospital was mainly under 3 years old (accounting for 58.2%). Antimicrobial drugs were used in 135 prescriptions with a utilization rate of 27.0%. The treatment of hand, foot and mouth disease was mainly antiviral, Barbwire, Xiyanping, Rendoxen, etc .; injection and oral antibacterial drugs are the third generation cephalosporins based. Conclusion: Our hospital treatment of hand-foot-mouth disease drug selection is reasonable. However, due to the younger children with hand-foot-mouth disease, high reactivity to drugs, the rational use of antimicrobial drugs and glucocorticoid drugs in the treatment of hand-foot-mouth disease, to avoid abuse is the current clinical needs attention and problems.