作　　者： (刘海燕）; (汪俊华）; (蒋芝月）; (刘丽）; (杨星）; (刘兰）;

机构地区： 贵州医科大学卫生统计学教研室,贵州贵阳550025

出　　处： 《贵州医科大学学报》 2017年第8期893-896,共4页

摘　　要： 目的:分析基层医疗卫生机构门诊处方用药情况的变化,反映基本药物制度的实施效果及合理用药情况。方法:采用系统抽样方法,对贵阳市某区3个基层医疗卫生机构2014年4月和2015年4月共600张门诊处方进行调查,比较处方中药品的平均费用、单张处方用药数量、单张处方基本药物数量、静脉注射比例、抗生素及激素使用情况的变化。结果:与2014年比较,2015年处方药品平均费用、单张处方用药数量及单张处方联合使用5种以上药物比例降低,静脉注射和激素使用处方比例下降,差异均有统计学意义(P<0.05);乡镇卫生院的抗生素使用比例增高,但差异无统计学意义(P>0.05)。结论:2015年3所基层医疗机构居民的医疗费用有所减轻,但仍存在抗生素过度使用的问题。 Objective： To analyze the drug use of prescriptions in primary medical institutions,reflecting the implement effect of basic drug system and the reasonable drug use conition. Methods： By systematic sampling,600 prescriptions in April 2014 and April 2015 in 3 primary medical institutions of Guiyang were investigated,which was involved in comparison of drug average costs,the number of drugs in single prescription,essential drug use,intravenous injection and the use proportion of antibiotics as well as hormone. Results： Compared with 2014,the average cost of prescription drugs,prescription medication quantity and the proportion of prescription combined with more than 5 kinds of drugs in 2015 decreased. The proportion of intravenous injection and hormone prescription decreased.The differences were statistically significant（ P〈0. 05）,but the proportion of antibiotic use in the township hospitals increased,but the differences were not statistically significant（ P〉0. 05）. Conclusion： In 2015,the medical expenses of residents in 3 primary medical institutions were reduced,but the overuse of antibiotics still existed.

关 键 词： 基层医疗机构 门诊医疗 处方 合理用药