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| 盐城地区医疗机构基本药物合理使用情况分析 |
| Analysis of Rational Use of Essential Medicines in Medical Institutions in Yancheng District |
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| DOI： |
| 中文关键词: 基本药物 盐城地区 合理用药 药物利用 |
| 英文关键词:Essential medicines Yancheng district Rational drug use Drug utilization |
| 基金项目:江苏省卫生和计划生育委员会药政处2016年药物政策研究课题 |
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| 中文摘要: |
| 摘 要 目的：对盐城地区21家综合医疗机构的基本药物合理使用情况进行回顾性分析，以促进基本药物的合理使用。方法：随机抽取盐城地区21家综合医疗机构2015年10月～2016年9月的住院病历，对基本药物的种类、名称、剂型、用法用量、金额等进行调查，并依据药品说明书、诊疗指南等对基本药物的合理使用情况进行评价分析。 结果：共抽取一、二、三级医疗机构住院病历217,761,570份，其基本药物使用率分别为100.0%,97.1%,96.8%。各级医疗机构单个病例平均基本药物使用种数为（8.2±4.0）,（6.8±3.9）,（6.5±4.1）种，基本药物金额占药品金额比例分别为（92.9±20.9）%，（28.0±29.6）%，（19.7±21.5）%。一级医疗机构中药制剂类和头孢菌素类抗菌药物使用率较高；二级医疗机构中药制剂类和水、电解质平衡调节药使用率较高；三级医疗机构肾上腺皮质激素类药物和胃肠解痉药及胃动力药使用率较高。基本药物不合理使用问题主要体现在头孢菌素类药物、中药制剂类等药物用法用量不适宜方面。结论：盐城地区基本药物使用中仍存在一些问题，合理用药水平尚需提高。 |
| 英文摘要: |
| ABSTRACT Objective: The rational use of essential medicines in 21 comprehensive medical institutions in Yancheng was analyzed retrospectively to promote rational use of essential medicines. Methods:The inpatient medical records of 21 comprehensive medical institutions in Yancheng from October 2015 to September 2016 were randomly selected to investigate the categories, name, dosage form, dosage and drug expenditure and so on. The rational use of essential medicines was analyzed and evaluated according to package inserts and guidelines. Results:A total of 217 medical records from primary hospitals, 761 medical records from secondary hospitals and 570 medical records from tertiary hospitals were collected. The utilization rates of essential medicines were 100.0%, 97.1% and 96.8% respectively. The quantity of average numbers in each case was (8.2±4.0), (6.8±3.9), (6.5±4.1), respectively. The proportion of drug expenditure of essential medicines were (92.9±20.9)%, (28.0±29.6)%, (19.7±21.5)%, respectively. The utilization rate of traditional Chinese medicines and cephalosporins was high in primary hospitals. The utilization rate of traditional Chinese medicines and electrolyte medicines in secondary hospitals was high. The utilization rate of corticosteroids and antispasmodic/gastroprokinetic agents was high in tertiary hospitals. The irrational use of essential medicines was mainly reflected in inappropriate use of cephalosporins and traditional Chinese medicine preparations. Conclusion:Since there are still some problems, the rational use of essential medicine in Yancheng still needs to be improved. |
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