我院超常处方分析与评价  

Analysis and evaluation of our hospital's excessive prescriptions

作　　者：张灼赞[1] 邹蔼珍[1] 郁相云[1] 梁高明[1] 庞惠民[1] 钟建华[1] 

机构地区：[1]深圳市龙岗中心医院药剂科,广东深圳518116

出　　处：《中国医药导报》2011年第8期131-133,共3页China Medical Herald

摘　　要：目的:分析我院超常处方的基本构成和合理用药情况,为制订有效干预措施提供依据。方法:随机抽取我院2010年1～12月门诊处方3 600张,调查超常处方病种构成和合理用药情况。结果:超常处方数为677张(18.8%),排序前5位病种分别为糖尿病、胃炎、高血压病、外伤、脑梗死;人均用药品种数为3.07种,针剂使用率为32.9%,抗菌药使用率为36.5%,中成药使用率为51.1%,医保处方比例为25.4%,人均药品费用为304.61元,不合理用药处方数为59张(8.71%)。结论:本院超常处方合理用药水平有待提高并对其进行积极干预。To Analysis the basic structure and rational drug use of excessive prescriptions in our hospital, soas to provide the basis for develop effective interventions. Methods： A total 3 600 outpatient prescriptions of our hospital from January to December in 2010 were randomly sampled ,and to be investigated disease distribution and rational drug use of excessive prescriptions. Restflts： The number of excessive prescriptions were 677 （18.8%）, the firt five diseases were diabetes, gastritis, hypertension, trauma, cerebral infarction; 3.07 kinds of drugs were used per patient on average; the application ratio of injections was 32.9%, the application ratio of antibiotic was 36.5%, the application ratio of Chinese patent medicine was 51.1%, the rate of medical insurance was 25.4% ;the per capita drug cost was 304.61 yuan, the number of unreasonable prescriptions were 59 （8.71%）. Conclusion： The rational drug use level of our hospital＇s excessive prescriptions is still low, which remain to be improved and effective interventions.

关 键 词：超常处方 合理用药 处方评价 干预 

分 类 号：R969.3[医药卫生—药理学]