中国医药
中國醫藥
중국의약
CHINA MEDICINE
2012年
8期
1004-1005
,共2页
抗菌药物%临床应用%回顾性分析%合理用药
抗菌藥物%臨床應用%迴顧性分析%閤理用藥
항균약물%림상응용%회고성분석%합리용약
Antibacterial drugs%Clinical use%Retrospective analysis%Rational use of drugs
目的 了解社区卫生服务中心抗菌药物应用情况,为抗菌药物的临床合理应用和规范管理提供参考依据.方法 收集北京市海淀区万寿路社区卫生服务中心2011年1-12月处方2000份,对抗菌药物的应用情况进行回顾性分析,按照实施抗菌药物规范化应用和管理措施培训前后,将处方分为培训前组和培训后组,各1000例患者.结果 培训前组与培训后组抗菌药物使用率分别为46.7％(467份)和24.4％(244份),培训后组的药物选择不合理率和未进行标本培养及药敏试验率、药物联用不合理率明显低于培训前组,差异有统计学意义[分别为25.0％ (61/244)比58.5％(273/467),P＜0.01；15.1％ (37/244)比36.8％(172/467),P＜0.01；5.7％ (14/244)比12.4％(58/467),P＜0.05].结论 抗菌药物使用率较高,且存在一些不合理应用现象.医院及社区应加强监管,以促进临床合理使用抗菌药物.
目的 瞭解社區衛生服務中心抗菌藥物應用情況,為抗菌藥物的臨床閤理應用和規範管理提供參攷依據.方法 收集北京市海澱區萬壽路社區衛生服務中心2011年1-12月處方2000份,對抗菌藥物的應用情況進行迴顧性分析,按照實施抗菌藥物規範化應用和管理措施培訓前後,將處方分為培訓前組和培訓後組,各1000例患者.結果 培訓前組與培訓後組抗菌藥物使用率分彆為46.7％(467份)和24.4％(244份),培訓後組的藥物選擇不閤理率和未進行標本培養及藥敏試驗率、藥物聯用不閤理率明顯低于培訓前組,差異有統計學意義[分彆為25.0％ (61/244)比58.5％(273/467),P＜0.01；15.1％ (37/244)比36.8％(172/467),P＜0.01；5.7％ (14/244)比12.4％(58/467),P＜0.05].結論 抗菌藥物使用率較高,且存在一些不閤理應用現象.醫院及社區應加彊鑑管,以促進臨床閤理使用抗菌藥物.
목적 료해사구위생복무중심항균약물응용정황,위항균약물적림상합리응용화규범관리제공삼고의거.방법 수집북경시해정구만수로사구위생복무중심2011년1-12월처방2000빈,대항균약물적응용정황진행회고성분석,안조실시항균약물규범화응용화관리조시배훈전후,장처방분위배훈전조화배훈후조,각1000례환자.결과 배훈전조여배훈후조항균약물사용솔분별위46.7％(467빈)화24.4％(244빈),배훈후조적약물선택불합리솔화미진행표본배양급약민시험솔、약물련용불합리솔명현저우배훈전조,차이유통계학의의[분별위25.0％ (61/244)비58.5％(273/467),P＜0.01；15.1％ (37/244)비36.8％(172/467),P＜0.01；5.7％ (14/244)비12.4％(58/467),P＜0.05].결론 항균약물사용솔교고,차존재일사불합리응용현상.의원급사구응가강감관,이촉진림상합리사용항균약물.
Objective To investigate the utilization of antibacterial drugs in the community health service center to provide clinical references for the standard management of antibacterials,and to promote rational drug use.Methods Totally 2000 case in our community health service center between January,2011 and December 2011 were randomly selected for the retrospective analysis of the use of antibacterials; 1000 patients who were discharged randomly before June 30th were chosen as control group,and those who were discharged randomly after June 30th were chosen as study group.Results Antibiotics use in the control group and study group was 46.7％ and 24.4％ with statistical significance(P ＜ 0.05); irrational use of antimicrobial drugs was 58.5％ and 25.0％ with statistical significance (P ＜ 0.05).Conclusions The application rate of antibacterials is high.Therefore,we should strengthen the management of antimicrobial drugs in order to promote the rational use of antimicrobial drugs.
