武汉市新洲区人民医院门诊处方用药合理性分析  

Basic situation of outpatient prescriptions and rationality analysis of drug use in Wuhan Xinzhou District People′s Hospital

作　　者：肖海霞[1] 余新海 胡永峰[2] XIAO Haixia;YU Xinhai;HU Yongfeng(Wuhan Xinzhou District People′s Hospital/Xinzhou Area of Wuhan Central Hospital,Hubei Province,Wuhan 430400,China;不详)

机构地区：[1]武汉市新洲区人民医院/武汉市中心医院新洲院区,430400 [2]武汉市新洲区疾病预防控制中心,430400

出　　处：《临床合理用药杂志》2023年第1期1-4,8,共5页Chinese Journal of Clinical Rational Drug Use

基　　金：武汉中青年医学骨干人才培养工程(武卫生计生[2017]51号)。

摘　　要：目的 分析武汉市新洲区人民医院门诊处方基本情况及用药合理性,为临床合理用药提供参考。方法 通过医院信息系统(HIS)抽取2019年7—12月(干预前)门诊处方4 389张和2020年7—12月(干预后)门诊处方3 923张,比较干预前后门诊处方基本情况及不合理处方类型。结果 干预后门诊单张处方平均开具药品数2.57种,干预前单张处方平均开具药品数2.91种;干预后门诊处方基本药物使用率较干预前升高,抗菌药物使用率、注射剂药品使用率及激素类药品使用率均较治疗前下降(P<0.01)。干预后,门诊处方用药不合理率为9.64%,低于干预前的15.88%(χ^(2)=71.747,P<0.001);但干预前后不合理处方各类型构成比比较差异均无统计学意义(P>0.05)。干预后,不规范处方占抽查总处方数的2.22%,低于干预前的3.62%(χ^(2)=14.238,P<0.001);但干预前后不规范处方中各类型构成比比较差异均无统计学意义(P>0.05)。干预后,不适宜处方占抽查总处方数的7.06%,低于干预前的11.73%(χ^(2)=52.472,P<0.001);但干预前后不适宜处方中各类型构成比比较差异均无统计学意义(P>0.05)。结论 药学干预后武汉市新洲区人民医院门诊不合理处方得到一定改善与控制,门诊处方用药渐趋规范合理,但仍存在一些不合理用药问题,需持续药学干预改进。Objective To analyze the basic situation of outpatient prescriptions and rationality of drug use in Wuhan Xinzhou District People′s Hospital, and to provide reference for clinical rational drug use. Methods Through the hospital information system(HIS), 4 389 outpatient prescriptions from July to December 2019(before the intervention) and 3 923 outpatient prescriptions from July to December in 2020(after the intervention) were selected, and the basic conditions of the outpatient prescriptions and unreasonable prescription types before and after the intervention were compared. Results After the intervention, the average number of drugs in a single prescription in outpatient clinics was 2.57, and before the average number of drugs in a single prescription was 2.91;After the intervention, the usage rate of basic drugs in outpatient prescriptions was higher than that before the intervention, the use rate of hormonal drugs was lower than that before the intervention(P<0.01). After the intervention, the irrational rate of outpatient prescription medication was 9.64%, which was lower than 15.88% before the intervention(χ^(2)=71.747, P<0.001);But there were no significant difference in the composition ratios of various types of irrational prescriptions before and after the intervention(P>0.05).After the intervention, irregular prescriptions accounted for 2.22% of the total prescriptions checked, which was lower than 3.62% before the intervention(χ^(2)=14.238, P<0.001);But there were no significant difference in the composition ratios of various types of irregular prescriptions before and after the intervention(P>0.05).After the intervention, inappropriate prescriptions accounted for 7.06% of the total prescriptions checked, which was lower than 11.73% before the intervention(χ^(2)=52.472, P<0.001);But there were no significant difference in the composition ratios of various types of inappropriate prescriptions before and after the intervention(P>0.05). Conclusion After the pharmaceutical intervention, the unreasonabl

关 键 词：门诊处方 药学干预 点评分析 合理用药 

分 类 号：R95[医药卫生—药学]