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目的探讨基层医院不合理用药原因及管理对策。方法通过回顾2013年1月-12月我院1000张住院及门诊处方,分析了不合理用药类型及原因,并提出了相应管理对策。结果共有89张不合理用药处方,占抽查处方总数的8.9%,包括用法用量不当占46.1%、联合用药不当占20.2%、重复用药占18.0%、溶媒选择不当占12.4%、药物选择不当占3.4%,其中抗生素不合理应用占82.0%;临床不合理用药,主要由医师因素、药师因素、患者因素、医院及社会因素等导致。结论为改善乡村医院的不合理用药现象,应建设合理用药制度,加强行业监管力度,重视医师培训工作,发挥药师防范作用,并重视患者健康宣教。
Objective To explore the causes and management countermeasures of irrational drug use in primary hospitals. Methods By reviewing 1000 inpatient and outpatient prescriptions in our hospital from January to December in 2013, we analyzed the types and causes of irrational drug use and proposed corresponding management strategies. Results There were 89 unreasonable prescriptions, accounting for 8.9% of the total randomized prescriptions, including 46.1% of inappropriate usage, 20.2% of improper combination, 18.0% of repeated medication, 12.4% of improper solvent selection and 3.4 inappropriate drug selection %, Of which the unreasonable use of antibiotics accounted for 82.0%; clinical irrational drug use, mainly by the physician factor, pharmacists, patient factors, hospitals and social factors. Conclusion In order to improve the irrational drug use in rural hospitals, we should establish a rational system of drug use, strengthen the supervision of the industry, attach importance to the training of physicians, give play to the role of pharmacists in prevention, and attach importance to the health education of patients.