论文部分内容阅读
目的:进一步提高内科医生对幽门螺杆菌(HP)根除治疗的认识.方法:调查1995~ 1998年4年间治疗HP的处方共计1640张,观察不同年代不合理及合理治疗HP的用药状况,分析合理和不合理治疗方案的医生分布,及两种方案随年代不同的变化情况.同时问卷调查100名医生对HP“根除”或“治愈”概念的了解以间接分析HP治疗后的处理情况.结果:不合理处方480张(29.3%),其中主要是单一用药,不含铋剂(Bi)或质子泵抑制剂(PPI)的两联疗法或三联疗法.不合理处方中进修非消化科医生(jf)、进修消化科医生(jx)、本院非消化科医生(bf)及本院消化科医生(bx)分别占42.7%、31.5%、21.5%及4 .3%.bx与前三者比均有显著性差异P“,”Purpose: To enhance the recognition of physicians on helicobacter pylori (HP) eradication therapy. Methods; To investigate 1 640 prescriptions about HP therapy and to observe the condition of HP reasonable or unresonable treatment and its relation to different physicians or years from 1995 to 1998. Meantime, to investigate the understanding of physicians on the concept of HP eradication. Results: There were 480 unresonable prescriptions including single therapy, dual therapies or triple therapies (non-Bi or non-PPI). Among those, the number of jf, jx, bf or bx was 42. 7%, 31.5%, 21.5% or 4.3% respectively (P<0.05orP<0.01). Conclusion: Physicians which are not in the department of gastroenterology or work in basic hospital should receive further training about HP eradication therapy in order to raise quality of treatment and reduce side effect or resistance of drug.