目的基于芦山地震伤病员疾病谱的实际药品使用情况,分析四川大学华西医院芦山地震后1月内应急药品使用费用。方法收集该院震后1月内以应急药品的日使用金额、各药理分类占所有品种的累计百分率、日均费用、人均费用、DUI等于1时日均费用、人均费用、日均差额和人均差额等资料,使用Excel软件录入数据,统计分析芦山地震后1月内伤员应急救治药品的使用费用。结果芦山地震后1月,该院收治伤病员人数与药品使用金额波动趋势一致,提示费用趋势合理。ICD-10标化的伤情分类为6类,12种伤,药物使用费用占总费用比例为71%。病情分6类,药物使用费用占总费用比例为21%。基于伤情的药物共3类18种,人均费用和日均费用均值分别为1 702.70元和186.87元。基于病情的药物共5类28种,人均费用和日均费用均值分别为185.13元和38.96元。注射给药人均费用和日均费用均值分别为口服给药方式的14.52倍和5.08倍。进口药物人均费用和日均费用均值分别为国产药品的7.10倍和5.28倍。结论影响药物使用费用的因素有:①伤病员的疾病负担和病情;②给药方式(注射剂vs.非注射);③同类药物是国产或进口;④DUI值评价的用药合理性。DUI>1,静脉给药及进口药物占比大,均可增加地震伤病员的用药费用。“应急救援药品服务包”备药应以伤情为主、病情为辅。为保证用药的及时、安全和有效,以注射剂为主,但其包装应能防摔防震,方便使用,剂量合理、满足病情需要。 Objective Based on the actual use of drugs in the disease spectrum of Lushan earthquake casualty patients, the cost of using emergency medicine in January after the Lushan earthquake in West China Hospital of Sichuan University was analyzed. Methods The daily usage amount of emergency medicine, the cumulative percentage of each pharmacological classification for all varieties, average daily expenditure, per capita expenditure, daily average cost, per capita cost, average daily difference and per capita Differences and other data, the use of Excel software input data, statistical analysis of Lushan earthquake within January after the wounded emergency treatment of drugs use costs. Results Lushan earthquake in January, the hospital received the wounded and the number of patients with the use of drug fluctuations in the same trend, suggesting that the cost trend is reasonable. The ICD-10 standardized injuries were classified into 6 categories and 12 injuries, and the cost of drug use accounted for 71% of the total cost. The condition is divided into 6 categories, the cost of using drugs accounts for 21% of the total cost. There were 18 types of drugs in 3 categories based on the injury condition, with average per capita cost and average daily cost of 1,702.70 yuan and 186.87 yuan respectively. A total of 28 kinds of drugs based on the disease, the per capita cost and the average daily cost were 185.13 yuan and 38.96 yuan. The average per capita cost and daily average cost of injection were 14.52 times and 5.08 times that of oral administration respectively. The average per capita cost and daily average cost of imported drugs were 7.10 times and 5.28 times that of domestic drugs respectively. Conclusion The factors affecting the cost of drug use are as follows: (1) the disease burden and condition of the sick and wounded; (2) the mode of administration (injection vs. non-injection); (3) the same drugs are made in China or imported; DUI> 1, intravenous and imported drugs accounted for a large proportion, can increase the cost of earthquake wounded and sick. “Emergency rescue drug service package ” prepared medicine should be the main injury, the condition is supplemented. In order to ensure the timely, safe and effective use of drugs to injection-based, but its packaging should be able to drop-proof and shockproof, easy to use, a reasonable dose to meet the needs of the disease.