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目的:了解耳鼻咽喉门诊患者抗菌药物使用情况,为临床合理用药提供参考。方法:采用回顾性分析的方法,从某院2010年1月~2014年1月的耳鼻咽喉门诊处方中随机抽取450张处方,进行统计、分析。结果:在这450张处方中有187张处方使用了抗菌药物,抗菌药物的使用率为41.56%。在使用抗菌药物的处方中经过分析有16张处方不合理,不合理率为8.56%。在这些不合理处方中有改变用药途径的有5张,占总不合理处方的31.25%;用药无用药指征的有3张,占不合理处方的18.75%,用药指征不强的有8张,占总不合理处方的50.0%。抗菌药物使用过程中使用的剂型主要包括口服剂、注射剂以及气体制剂,通过口服、静脉滴注、雾化吸入以及局部外用这几种途径对患者进行治疗。结论:耳鼻咽喉门诊患者在抗菌药物使用过程中存在着一些不合理的现象,需要严格规范抗菌药物的使用,加强对抗菌药物的管理力度。
OBJECTIVE: To understand the use of antimicrobial agents in Otolaryngology clinic and provide a reference for clinical rational drug use. Methods: A retrospective analysis was used to randomly select 450 prescriptions from otolaryngology clinic prescriptions from January 2010 to January 2014 in a hospital for statistics and analysis. RESULTS: Of the 450 prescriptions, 187 prescriptions used antimicrobials and 41.56% antibacterials. In the use of antibiotics in the prescription analysis of 16 prescriptions unreasonable, the unreasonable rate of 8.56%. Among these unreasonable prescriptions, there were 5 ways to change the way of using drugs, accounting for 31.25% of the total unreasonable prescriptions. There were 3 indications for drugless use, accounting for 18.75% of unreasonable prescriptions and 8 Zhang, accounting for 50.0% of the total unreasonable prescriptions. Anti-bacterial drugs used in the process of formulations mainly include oral, injection and gas formulations, by oral, intravenous drip, inhalation and topical use of these routes of treatment of patients. Conclusion: There are some unreasonable phenomena in the course of using antimicrobial drugs in Otolaryngology clinic. The use of antimicrobial drugs needs to be strictly regulated and the management of antimicrobial drugs should be strengthened.