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目的:探索医院药品采购新模式下合理用药国际指标变化,促进我院临床合理用药。方法:随机选取我院2010年7月～2011年6月每月各1000张门诊处方,对处方合理用药国际指标进行统计分析,观察新模式下指标变化。结果:2010年7月～2011年6月相关合理用药指标:处方平均用药品种数分别为2.25和2.13;门诊抗菌药使用率分别为21.75%和18.92%;注射剂使用率分别为29.25%和28.17%;基本药物品种数分别为38.08%和54.82%;处方平均金额分别为164.75元和134.75元。结论:改变药品采购模式后我院处方平均用药品种数下降,注射剂使用率略有降低,基本药物品种数使用显著升高,门诊抗菌药使用率降至20%以下,处方平均金额显著下降。各指标改变提示药品采购新模式下我院合理用药水平显著上升。
Objective: To explore the changes of international indexes of rational drug use under the new mode of hospital drug procurement and to promote the rational use of drugs in our hospital. Methods: A total of 1000 outpatient prescriptions per month from July 2010 to June 2011 in our hospital were randomly selected to make statistical analysis on the international indexes of prescription rational use of drugs and observed the changes of indicators under the new mode. Results: From July 2010 to June 2011, the relevant rational drug use indexes were 2.25 and 2.13, respectively. The outpatient antibacterials utilization rates were 21.75% and 18.92% respectively. The injections were 29.25% and 28.17% respectively, ; The number of essential medicines was 38.08% and 54.82% respectively; the average prescription was 164.75 yuan and 134.75 yuan respectively. Conclusion: After changing the mode of drug procurement, the average number of prescription drugs in our hospital decreased, the use rate of injections decreased slightly, the use of essential drugs increased significantly, the use of outpatient antibacterials dropped below 20%, and the average amount of prescription decreased significantly. Changes in various indicators suggest a new model of drug procurement in our hospital a reasonable rise in the level of medication.