CAJ | 학술논문

目的：了解东莞市第五人民医院（以下简称“我院”）门、急诊处方用药合理情况。方法：回顾性检查我院2011—2013年的门、急诊处方，每月抽查300张，共抽查处方10800张。结果：不合理处方764张，占全部抽查处方的7．07％；抗菌药物使用率为23．0％，超过卫生部指标3个百分点。结论：我院部分处方存在不合理用药情况，抗菌药物存在滥用情况，需加强对《处方管理办法》和《抗菌药物临床应用指导原则》的学习，并应增强合理用药宣传与合理用药意识，确保用药安全、有效、经济。
목적：료해동완시제오인민의원（이하간칭“아원”）문、급진처방용약합리정황。방법：회고성검사아원2011—2013년적문、급진처방，매월추사300장，공추사처방10800장。결과：불합리처방764장，점전부추사처방적7．07％；항균약물사용솔위23．0％，초과위생부지표3개백분점。결론：아원부분처방존재불합리용약정황，항균약물존재람용정황，수가강대《처방관리판법》화《항균약물림상응용지도원칙》적학습，병응증강합리용약선전여합리용약의식，학보용약안전、유효、경제。
OBJECTIVE:To investigate the rationality of drug use in outpatient & emergency department prescriptions in Dongguan The Fifth People's Hosptial( herein after referred to as“our hospital”) .METHODS:A total of 10 800 outpatient & emergency prescriptions sampled from 2011 to 2013 in our hospital ( 300 monthly ) were analzyed retrospectively.RESULTS:Of the 10 800 prescriptions reviewed, 764 (7.07%) were unqualified ones and the rate of antibiotic use stood at 23%, which was 2% higher than the standard specified by the Ministry of Health. CONCLUSIONS:In our hospital, irratinoal drug use and abuse of antibiotics were still noted in some prescriptions.It is important to emphasize the study on “Good Practice on Management of Prescriptions” and “Guiding Principles for Clinical Application of Antibacterials” and strengthen the publicity and consciousness of rational use of drugs for ensuring safe,effective and economical use of drugs.