摘要
目的 研究儿科门急诊上呼吸道感染的处方用药情况及合理性.方法 提取芜湖市第二人民医院2021年1月～12月共计4 573张儿科门急诊第一诊断为上呼吸道感染的处方,对其药品种类、成分、费用以及用药合理性进行分析.结果 4 573张处方中,使用中成药的处方有2 769 张,占比最高,为 45.86%;抗菌药物共 1 433 张位居第二,使用率为 23.73%;其次为解热镇痛药物、抗病毒药物、糖皮质激素.不合理处方共计 1 196 张(26.15%),包括静脉使用糖皮质激素指征不明确、抗菌药物使用频次不适宜以及品种选择起点过高等.结论 该院儿科处方中存在用药指征不严、品种选择不适宜、重复用药等问题,需重点关注.
Abstract
Objective To study the prescription and rationality of upper respiratory tract infection in pediatric outpatient and emergency departments.Methods From January 2021 to December 2021 in Wuhu Second People's Hospital,a total of 4 573 prescriptions with the first diagnosis of upper respiratory tract infection in pediatric outpatient and emergency departments were extracted,and the drug types,ingredients,expenses and drug rationality were analyzed.Results Among the 4 573 prescriptions,there were 2 769 prescriptions using proprietary Chinese medicines,accounting for the highest proportion(45.86%);A total of 1 433 antibacterial drugs ranked second,with a utilization rate of 23.73%.Followed by antipyretic and analgesic drugs,antiviral drugs,glucocorticoid.There were 1 196 irrational prescriptions(26.15%),including unclear indications for intravenous use of glucocorticoids,inappropriate frequency of use of antibacterial drugs and too high starting point for variety selection.Conclusion There are some problems in pediatric prescriptions in the hospital,such as lax indications,inappropriate variety selection,repeated medication and so on,which need to be paid attention to.
基金项目
安徽省卫生健康委科研项目(AHWJ2021b035)
NETL
NSTL
万方数据