CAJ | 학술논문

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。
목적：전면료해심수시중의원문진처방약물사용정황，위진일보제정합리용약간예조시제공과학의거。방법근거세계위생조직합리용약지표（SDUIs），채용계통추양방법대의원문진환자진행문권조사，채용 EpiData 3.0연건건립수거고，채용 SPSS16.0연건진행통계화분석。결과대문진환자발방문권900빈，수회합격문권867빈，기중64빈피판정위불합리처방，처방불합리솔7.38%；처방약물평균품충수(2.19±1.12)충，통용명사용솔100.00%，항균약물사용솔26.30%，주사제（제계화면역）사용솔14.07%，기본약물사용솔14.73%，의생진치시간(3.87±1.35) min，처방조배시간(2.59±1.26) min，약품표시완정솔100.00%，약품실제조배비례100.00%，환자료해정학용약방식솔위84.54%。결론불합리처방소점비례교저，문진약품사용기본합리，주사제화항균약물사용득도료유효공제，단기본약물사용솔편저。
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 soft-ware. 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 essen-tial 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 unreasonable 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.