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目的对我院呼吸科出院处方的国际指标进行调查,以了解其合理用药状况,从而有针对性地探讨提高合理用药的干预措施,以提高合理用药水平。方法应用世界卫生组织合理用药国际网络《医疗单位合理用药调研方法与指标》中的处方指标,对呼吸科2012年的出院处方进行调查,并对其数据进行统计分析。结果平均用药品种数2.58种,抗生素使用率为46.6%,基本药物使用率为77.2%,专科药物使用率为59.1%,平均药费为93.71元,平均用药疗程4.8d。结论应用处方指标对出院处方的合理用药评价具有可管理性和有效性。呼吸科出院处方基本合理,但有些方面需进一步提高。
Objective To investigate the international indicators of the department of respiratory medicine in our hospital to find out its reasonable medication status so as to explore the appropriate interventions to improve the rational use of drugs in order to improve the reasonable level of medication. Methods By using the prescriptions in the “Methodology and Indicators of Reasonable Use of Drugs in Medical Units” of the WHO International Network on Rational Drug Use, we investigated the discharge prescriptions of the Respiratory Department in 2012 and conducted statistical analysis on the data. Results The average number of drug use was 2.58. The antibiotic use rate was 46.6%, the basic drug use rate was 77.2%, the specialty drug usage rate was 59.1%, the average drug cost was 93.71 yuan, and the average medication duration was 4.8 days. Conclusion The application of prescriptions to discharge prescription rational use of drug evaluation is manageable and effective. Respiratory outpatient prescriptions are basically reasonable, but some aspects need to be further improved.