社区内科疾病构成及基本药物的合理应用研究  

Composition of the Diseases of Internal Medicine from Community Clinic Service and the Rational Application of Essential Drugs

作　　者：宋家明[1] 宋云峰[2] 杨义清 耿静[4] 杨桂芳 赵丽 

机构地区：[1]安徽省淮北市人民医院内二科,235000 [2]安徽省淮北市人民医院药材科,235000 [3]淮北市黎苑社区卫生服务中心,235000 [4]安徽省淮北市人民医院中医科,235000

出　　处：《中华全科医学》2011年第3期423-424,共2页Chinese Journal of General Practice

摘　　要：目的了解社区门诊内科常见病构成与排序,针对性提高社区门诊对基本药物合理应用的水平。方法对黎苑社区卫生服务中心2007年1月-2008年12月2年门诊内科疾病资料进行有关统计。分析有关内科疾病用药占基本药物中的比例。比较这些内科常见疾病的临床诊治指南等推荐的用药与基本药物的之间关系。结果 2年中就诊的内科疾病5 243例次,其中前20位常见疾病4 471例次,占内科全部就诊人次的85.3%。内科疾病用药占治疗性基本药物的90.0%,前20位常见病占内科用药的70.0%。前20位常见病临床指南推荐的用药与基本药物是一致的。结论建立国家基本药物制度对于满足人民基本医疗卫生需求具有重要意义。只有在社区内科前20位或20余位常见病临床指南、国家处方集等指导下,才能合理、安全、规范应用基本药物。Objective To know the composition and ordering of the common diseases of internal medicine attached to the community clinic service and to directly enhance the level of rational administration of the essential drugs. Methods The data of complete medical diseases from the clinic service of Liyuan community service center during January 2007 to December 2008 was collected. Therapeutic drugs which occupied the proportion of basic drugs were analyzed. According to clinical treatment guidelines of these diseases, rational application of the essential drugs was discussed. Results Among 5 243 cases of internal medicine diseases during 2 years, the first 20 common diseases amounted to 4 471 cases, occupying 85.3% of the total cases from internal medicine. Drugs from the internal medicine accounted for 90% of essential drugs. Drugs from the first 20 common diseases accounted for 70% of essential drugs. Conclusion The essential drugs can satisfy the basic medicine requirement of majority patients. Mastering the first 20 or more than 20 common medicine diseases and correct dosing method was effective way to master safe rational application of the basic drugs.

关 键 词：社区门诊 病种构成 基本药物 合理用药 

分 类 号：R197.6[医药卫生—卫生事业管理]