处方分析论文

【摘

要】

目

的：

通过对门急诊处方书写常见问题 的分析，了解门、急诊抗生

素等药品不合理使用情况，促进临床合理用药水平的提高。方 法：抽取京州县人民医院

2016

年

7 -9

月份的门急诊处方，进行专门的点评、统计和分析。结果：门急诊处方共抽

取

7171

张，

其中抗 菌药物处方

4541

张，

非抗菌药物处 方

2630

张。

处方总体合格率

73.14%

（抗菌药物处方合格率

73.8 4%

，非抗菌药物处方合格率

71.94%

）

。并对几个突出问题，

不同的类型的处方各自存在的问题 ，

进行举例分析。

结论：

门急诊处方合 格率有待提高，

抗菌药物等其他药物存在滥用，需要进一步加强《处方管理办法》

、

《抗菌药物临床应用

指导原则

(2015

年

)

的学习。

【关键词】

门、急诊处方；抗生素

;

合理用药；处方分析

[Abstract] Objective: to analyze the common problems of prescriptions in

outpatient

and

emergency

departments,

to

understand

the

irrational

use

of

antibiotics

in

the

outpatient

and

emergency

departments,

and

to

improve

the

level

of rational drug use in clinic. Methods: the prescriptions of outpatient and

emergency department of Jinzhou People's Hospital from 2016 to were collected

and analyzed. Results: a total of 7171 prescriptions were collected from the

outpatient and emergency department. Among them, there were only about 4541

prescriptions of antibiotics, and there were no antibiotics prescriptions of

2630.

The

overall

qualified

rate

of

prescription

was

73.14%

(the

qualified

rate

of

antibiotic

prescription

was

73.84%,

and

the

rate

of

non

antibiotic

prescription was 71.94%). And some outstanding problems, different types of

prescriptions

for

each

of

the

existing

problems,

for

example

analysis.

Conclusion: the prescription rate of outpatient and emergency treatment needs

to

be

improved,

and

the

abuse

of

antibiotics

and

other

drugs,

the

need

to

further

strengthen the

clinical application of antibacterial drugs (2015) study.

[Key words] emergency prescriptions; antibiotics; rational use of drugs;

prescription analysis

目

录

引言

- -------------------------------------------------- ------------------ 5

1.

资料与方法

--------- -------------------------------------------------- -- 5

1.1

资料来源

------------------------------------------ --------------- 5

1.2

点评分析方法

---------- ------------------------------------------ 5

2.

点评结果及其分析

------ ------------------------------------------------- 6

2.1

处方的基本指标

------------------------------------------ --------- 6

2.2

常见问题分析

---------- ------------------------------------------- 6

2.2.1

诊断与用药不符