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目的:对宣武医院2000～2008年儿科门诊上呼吸道感染处方中抗感染药应用情况进行分析,为临床提供参考依据,促进儿科门诊合理用药。方法:采用回顾性分析方法,以《北京地区医院处方分析》课题抽样日期为准,每月随机抽取3～4 d儿科处方,每年各40 d,将处方的一般项目、诊断、用药情况等分别输入计算机,采用FoxPro 6.0编程,对数据进行统计分析。结果:上呼吸道感染疾病使用抗感染药的比例呈下降趋势;平均处方费用除2004年149.96元最高外,其他均保持在100元左右;治疗药物从2004年前以青霉素类和头孢菌素类为主,转变为头孢菌素类和大环内酯类为主。使用注射剂的比例在20%左右。结论:宣武医院儿科门诊治疗上呼吸道感染时,抗感染药有一定的滥用,趋势逐年下降;药品费用合理;仍要加强对临床合理用药的教育与培训。
OBJECTIVE: To analyze the application of anti-infectives in prescriptions of upper respiratory tract infection in pediatric outpatients from Xuanwu Hospital from 2000 to 2008, to provide a reference for clinical practice and to promote the rational use of drugs in pediatric outpatients. Methods: A retrospective analysis method was used to take the sampling date of the topic of “prescription analysis in hospitals in Beijing area” as standard. Pediatric prescriptions were randomly collected every 3-4 days for 40 days each year. The general items of prescription, diagnosis and medication were respectively Enter the computer, using FoxPro 6.0 programming, statistical analysis of the data. Results: The proportion of anti-infectives in the upper respiratory tract infections showed a downward trend. The average prescription cost was the highest except for the highest in 149.96 yuan in 2004, while the others remained at about 100 yuan. The therapeutic drugs were penicillins and cephalosporins Lord, into cephalosporins and macrolides based. The use of injection ratio of about 20%. Conclusion: Xuanwu Hospital pediatric outpatient treatment of upper respiratory tract infection, anti-infective drugs have a certain abuse, the trend declining year by year; drug costs reasonable; still need to strengthen the clinical rational drug education and training.