患者年龄与药物使用评价指标的相关性分析  

Correlation between Patients' Age and Drug Use Evaluation Indicators

作　　者：李国栋[1] 冯端浩[1] 赵冠人[1] 李岩[1] 郑越[1] 

机构地区：[1]解放军总医院第二附属医院药剂科,北京市100091

出　　处：《中国医院用药评价与分析》2009年第5期340-342,共3页Evaluation and Analysis of Drug-use in Hospitals of China

摘　　要：目的:调研我院不同年龄段患者的处方,探讨解决不合理用药的途径和促进合理用药的方法。方法:依据合理用药国际指标,利用自行编制的处方评价系统对我院2008年全年不同年龄患者的处方进行评价。结果:我院以18～45岁年龄段的患者为主。小于6岁、6～18岁和18～45岁患者应用抗菌药物的比例为41.24%、47.65%及42.23%;18～45岁患者注射剂使用率为21.07%;大于60岁患者的平均每张处方用药品种数为2.85种、平均每张处方金额为331.00元,都分别明显高于全年的平均值32.50%、17.78%、2.51种及244.02元;45～60岁患者的基本药物使用率最高,为58.05%;小于6岁的患者中成药使用率最高,为55.32%;通用名使用率为100%。结论:采用国际指标评价用药合理性具有可操作性和有效性。加强小于45岁和大于60岁患者用药教育及管理,有利于降低抗菌药物及注射剂的使用和平均每张处方用药品种数及金额;需加大各年龄段患者基本药物的使用。OBJECTIVE： To investigate the prescriptions for patients of different age group in our hospital and to explore ways to solve the irrational drug use problem so as to promote rational drug use.METHODS： Based on the international indicators for rational drug use,the self-designed prescription evaluation system in our hospital was used to evaluate the prescriptions in 2008 in our hospital.RESULTS： Of the patients in our hospital,patients aged from 18 to 45 years showed highest proportion;the patients aged less than 6 years,6 to 18 years and 18 to 45 years who received antibacterial agents accounted for 41.24%,47.65% and 42.23%,respectively;The proportion of patients aged from 18 to 45 years who used injections was 21.07%;an average of 2.85 kinds of drugs per prescription were prescribed for patients aged above 60 years,totalled 331.00 yuan per prescription on average,all significantly higher than the annual mean values of 32.50%（proportion of using antibacterial agents）,17.78%（proportion of using injections）,2.51 kinds（drugs per prescription） and 244.02 yuan（cost per prescription）.The patients aged from 45 to 60 years showed the highest proportion with 58.05% in terms of the use of essential drugs,and those aged less than 6 years had a highest proportion of 55.32% in terms of the use of Chinese patent drugs.100% of the drugs were prescribed in generic name.CONCLUSION： It is feasible and effective to adopt the international indicators for the evaluation of rational drug use.Strengthening medication education and management for patients aged less than 45 years or above 60 years is conducive to the reduction in the use of antibacterial agents and injection drugs and the average kinds of drugs and amount of money per prescription.The essential drugs should be used extensively in each age group.

关 键 词：国际指标 处方评价 年龄 

分 类 号：R969.3[医药卫生—药理学]