深圳市中医院门诊处方合理用药指标调查与分析  

Investigation and Analysis on Indicators of Rational Drug Use in Outpatient Prescriptions in Shenzhen Municipal Hospital of Traditional Chinese Medicine

作　　者：魏俊婷[1] 邹美南[1] 曾斌[1] 刘志承[1] 

机构地区：[1]广东省深圳市中医院药学部,广东深圳518033

出　　处：《中国药业》2014年第14期68-72,共5页China Pharmaceuticals

摘　　要：目的全面了解深圳市中医院门诊处方药物使用情况,为进一步制订合理用药干预措施提供科学依据。方法根据世界卫生组织合理用药指标(SDUIs),采用系统抽样方法对医院门诊患者进行问卷调查,采用EpiData 3.0软件建立数据库,采用SPSS16.0软件进行统计和分析。结果对门诊患者发放问卷900份,收回合格问卷867份,其中64份被判定为不合理处方,处方不合理率7.38%;处方药物平均品种数(2.19±1.12)种,通用名使用率100.00%,抗菌药物使用率26.30%,注射剂(除计划免疫)使用率14.07%,基本药物使用率14.73%,医生诊治时间(3.87±1.35)min,处方调配时间(2.59±1.26)min,药品标示完整率100.00%,药品实际调配比例100.00%,患者了解正确用药方式率为84.54%。结论不合理处方所占比例较低,门诊药品使用基本合理,注射剂和抗菌药物使用得到了有效控制,但基本药物使用率偏低。Objective To comprehensively understand the drug use situation of the outpatient prescriptions in our hospital in order to provide the scientific basis for further formulating the intervention measures of rational drug use. Methods According to the selected drug use index （SDUIs） of WHO,the questionnaire survey on the outpatients was performed by the systematic sampling method. The EpiData 3.0 software was adopted to establish the database and the statistical analysis was conducted by using the SPSS 16. 0 software. Results 900 pieces of questionnaire were issued to the outpatients and 867 pieces of qualified questionnaire were taken back. 64 pieces of prescription were judged to be unreasonable after evaluating 867 pieces of prescription. The prescription unreasonable rate was 7.38%. The average number of varieties of prescription drugs was 2. 19. The use rate of drugs generic name was 100. 00%. The use rate of antibacterial drugs was 26.30% ,the injection （except the planned immunization） use rate was 14.07% ,and the use rate of the essential drugs was 14. 73%. The doctor diagnosis and treatment time was 3.87 min. The prescription dispensing time was 2.59 min. The drug label integrity rate was 100. 00%. The actual proportion of drug dispensing was 100. 00%. The proportion of patients understanding the correct medication was 84. 54%. Conclusion The proportion of unreasouable prescriptions is low. The outpatients＇ drug use is basically reasonable. The use of injections and antibacterial drugs is effectively controlled,but the use rate of the essential drugs is on the low side.

关 键 词：合理用药 指标 门诊处方 

分 类 号：R969.3[医药卫生—药理学] R952[医药卫生—药学]