CAJ | 학술논문

目的：分析我院抗菌药物临床使用的情况，为合理用药提供依据。方法：对2013年本院5个临床科室随机抽取病历458份，对抗菌药物的使用情况进行分析。结果：使用抗菌药物的病例为177份，使用率为39%，虽然这个数据并没有超过卫生部文件规定的抗菌药物的使用率应小于40%的标准，但是此次抽查的病历中，不合理使用抗菌药物的病历为22例，其中：选药过高的为5例；无指征联合用药的为4例；用药时间过长的为2例；特殊使用级抗菌药物不合理使用为8例，包括用药无会诊记录5例，无指征联合用药2例，无指征应用特殊使用级抗菌药1例；无指征使用抗菌药(除去特殊使用级抗菌药)3例。抗菌药物的使用情况并非完全合理，仍然存在着各种使用不合理的弊端，我院抗菌药物的专项整治工作取得了一定的成效，但仍然需要根据国家的法规政策进一步加大整治的力度。结论：各科室的用药仍然存在不合理的情况，有待进一步改善。
목적：분석아원항균약물림상사용적정황，위합리용약제공의거。방법：대2013년본원5개림상과실수궤추취병력458빈，대항균약물적사용정황진행분석。결과：사용항균약물적병례위177빈，사용솔위39%，수연저개수거병몰유초과위생부문건규정적항균약물적사용솔응소우40%적표준，단시차차추사적병력중，불합리사용항균약물적병력위22례，기중：선약과고적위5례；무지정연합용약적위4례；용약시간과장적위2례；특수사용급항균약물불합리사용위8례，포괄용약무회진기록5례，무지정연합용약2례，무지정응용특수사용급항균약1례；무지정사용항균약(제거특수사용급항균약)3례。항균약물적사용정황병비완전합리，잉연존재착각충사용불합리적폐단，아원항균약물적전항정치공작취득료일정적성효，단잉연수요근거국가적법규정책진일보가대정치적력도。결론：각과실적용약잉연존재불합리적정황，유대진일보개선。
Objective:To observe the clinical usage of antibacterials, andtoprovide referencefor using antibacterials rationally. Methods: Werandomly extracted 458 patients from 5 departments in the hospital, and the usage ofantibacterials was analyzed. Results: 177 patients were givenantibacterials, and theusage rate was39%. Although the data did not exceed the standardof less than 40%by Ministry of Health, 22 cases of irrational use of antimicrobial drugs existed, including:drug selection of high level antibioticsin 5 cases, no indication of combined antimicrobial therapy in 4 cases, prolonged medication in 2 cases, irrational use of special regulated antibiotics in 8 cases (5 cases with no consultation record, 2 cases with no indication for combined use of drugs,1 case with no indications of application). No indications for use of antibacterial drugs (except for special regulated antibacterial medicine) were seen in 3 cases. Conclusion:The use of antibiotics was not entirely reasonable, and there were still shortcomings inantibacterial drug use.The special rectification work had achieved certain results in our hospital, but further intensified rectification efforts according to national regulations and policies werestill needed.The problems of antibacterial use still existed in every clinical division, which must be changed.