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目的探讨国家实施的一系列西药政策及临床合理用药情况。方法选取医院门诊与急诊的西药用药处方及其出院病历档案,将以西药政策实施前的2011至2012年作为实施0组,以2015至2016年作为实施1组,对照研究国家对西药政策实施前后的合理用药情况,并考察分析政策的实施有效性及可行性。结果国家对西药政策实施前,实施0组的基本西药门诊处方合理使用率约为33.48%,基本药物的金额合理率约为25.55%,而且抗生素药物使用强度高达51.37%;而在西药政策实施后,实施1组的基本西药门诊处方合理使用率提高至71.59%,基本药物的金额合理率也提升至54.02%,而且实施1组的抗生素药物使用强度降低至24.50%。前后比较差异水准在统计学中有可比意义(P<0.01)。结论国家对西药的整治干预政策可促进临床合理用药,可产生很重大的影响。
Objective To explore a series of western medicine policies and clinical rational drug use implemented by the state. Methods The hospital prescriptions and emergency medical prescriptions of western medicine and their records of discharged medical records were selected. From 2011 to 2012 before the implementation of the western medicine policy, the first group will be implemented as 0 and the second group will be implemented from 2015 to 2016, The rational use of drugs, and examine the effectiveness and feasibility of the implementation of the policy. Results Before the implementation of the western medicine policy, the reasonable utilization rate of basic western medicine outpatients in group 0 was about 33.48%, the rational rate of basic drugs was about 25.55%, and the antibiotic use intensity was as high as 51.37%. However, after the implementation of western medicine policy , The rational utilization rate of prescriptions for basic western medicine in group 1 increased to 71.59%, the rate of rationalization of basic medicines increased to 54.02%, and the strength of antibiotic use in group 1 decreased to 24.50%. Before and after comparison of the level of difference was statistically significant (P <0.01). Conclusion The national policy of remediation and intervention on western medicine can promote clinical rational use of drugs and can have a significant impact.