中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2015年
3期
111-113
,共3页
社康中心%抗菌药物%用药规范%对策
社康中心%抗菌藥物%用藥規範%對策
사강중심%항균약물%용약규범%대책
Community health center%Antibiotics%Drug regulation%Countermeasure
目的：调查分析社康中心抗菌药物不合理使用情况，针对原因探讨相应对策，为促进合理用药积累经验。方法随机选取本市27家社康中心为研究对象，在每家社康中心2012年全年开具的抗菌药处方中，采用随机数字法抽取50张进行审核，对审核过程中发现的抗菌药物不合理使用情况进行分类、总结和分析；针对抗菌药物不合理使用原因探讨相应对策，并比较对策实施前后抗菌药物不合理使用情况变化。结果2012年随机抽取的1350份抗菌药处方中，经过审核发现不合理用药293份，占整个处方量的21.7%，其中药物选择不合理占13.0%，联合用药不合理占20.8%、重复用药占9.2%、溶媒不合理占18.8%、用法用量不合理占38.2%。经过实施规范用药对策，2013年不合理用药发生率显著低于2012年（9.3%vs 21.7%，χ2=78.9，P<0.05）。结论通过对社康中心不合理用药情况的统计分析，制定相应的规范措施，为选择合适的抗菌药物以及采用合适的用药方法等奠定了基础，保证了临床用药的合理性和科学性。
目的：調查分析社康中心抗菌藥物不閤理使用情況，針對原因探討相應對策，為促進閤理用藥積纍經驗。方法隨機選取本市27傢社康中心為研究對象，在每傢社康中心2012年全年開具的抗菌藥處方中，採用隨機數字法抽取50張進行審覈，對審覈過程中髮現的抗菌藥物不閤理使用情況進行分類、總結和分析；針對抗菌藥物不閤理使用原因探討相應對策，併比較對策實施前後抗菌藥物不閤理使用情況變化。結果2012年隨機抽取的1350份抗菌藥處方中，經過審覈髮現不閤理用藥293份，佔整箇處方量的21.7%，其中藥物選擇不閤理佔13.0%，聯閤用藥不閤理佔20.8%、重複用藥佔9.2%、溶媒不閤理佔18.8%、用法用量不閤理佔38.2%。經過實施規範用藥對策，2013年不閤理用藥髮生率顯著低于2012年（9.3%vs 21.7%，χ2=78.9，P<0.05）。結論通過對社康中心不閤理用藥情況的統計分析，製定相應的規範措施，為選擇閤適的抗菌藥物以及採用閤適的用藥方法等奠定瞭基礎，保證瞭臨床用藥的閤理性和科學性。
목적：조사분석사강중심항균약물불합리사용정황，침대원인탐토상응대책，위촉진합리용약적루경험。방법수궤선취본시27가사강중심위연구대상，재매가사강중심2012년전년개구적항균약처방중，채용수궤수자법추취50장진행심핵，대심핵과정중발현적항균약물불합리사용정황진행분류、총결화분석；침대항균약물불합리사용원인탐토상응대책，병비교대책실시전후항균약물불합리사용정황변화。결과2012년수궤추취적1350빈항균약처방중，경과심핵발현불합리용약293빈，점정개처방량적21.7%，기중약물선택불합리점13.0%，연합용약불합리점20.8%、중복용약점9.2%、용매불합리점18.8%、용법용량불합리점38.2%。경과실시규범용약대책，2013년불합리용약발생솔현저저우2012년（9.3%vs 21.7%，χ2=78.9，P<0.05）。결론통과대사강중심불합리용약정황적통계분석，제정상응적규범조시，위선택합괄적항균약물이급채용합괄적용약방법등전정료기출，보증료림상용약적합이성화과학성。
Objective To investigate and analyze the antimicrobial unreasonable use of antibacterial drugs in the com-munity center and to explore the corresponding countermeasures according to the reasons in order to accumulate experi-ence for promoting the rational use of drugs. Methods A total of 27 community health centers in the city were randomly selected as the research object and 50 antibiotic prescriptions, randomly selected among the antibiotic prescriptions is-sued in every community health center in the year 2012, were checked. The unreasonable use of antibacterial drug was classified, summarized and analyzed in the audit process. The corresponding countermeasures were explored according to the causes of the irrational use of antibiotics and changes of the irrational use of antibiotics were compared before and after the implementation of countermeasures. Results 293 copies of antibiotic prescriptions among the 1350 copies of antibiotic prescriptions randomly selected in 2012 were found unreasonable after the review, which accounted for the entire21.7% of the prescribed doses. Among the 293 copies of antibiotic prescriptions, the unreasonable choice of an-tibacterial drug accounted for 13%, the irrational drug use combined with other drugs accounted for 20.8% and drugs repeatedly used accounted for 9.2%, unreasonable solvents accounted for 18.8% and the usage and amount of drugs, which were unreasonable, accounted for 38.2%. After the implementation of standard medication strategy in 2013, the rate of irrational drug use was significantly lower than that in 2012 (9.3% vs 21.7%,χ2=78.9,P<0.05). Conclusion Through the analysis of the statistics of irrational drug use in the community health center, the appropriate regulatory measures have been planed, which has laid the foundation for the choice of suitable antibiotics and adopt suitable medication method and has guaranteed the rationality and the scientific nature of clinical use of drugs.
