2007年我院急诊处方调查研究.doc

2007年我院急诊处方调查研究[摘要]目的:了解我院急诊处方的状况，为促进急诊合理用药及药房储药工作提供参考。方法:随机抽取我院2007年1～9月的西药门诊急诊处方5 036张，利用Excel软件对处方进行分类、统计。结果:5 036张急诊处方中，处方分布以内科、儿科、外科为主；处方的药物组成以抗感染类最高(29.03%)，用药途径中以注射给药居首，并以速效的静脉滴注为主（83.62%）；存在药物相互作用而不宜合用的处方143张（2.84%）。处方用药以1～4种为主（占总处方81.43%），平均每张处方用药3.11种。处方药物金额以200元以下为主（89.95%），平均每张处方92.78元。结论:我院急诊处方用药少而精，但合理联用药物仍需进一步提高。 [关键词] 急诊处方；合理用药；分析 [中图分类号] R954 [文献标识码]A [文章编号]1673-7210（2008）08（c）-147-02 The research of hospital emergency prescription in 2007 CHEN Mei-ling，CHEN Hao (HuizhouCentralPeople′sHospital， Huizhou516001,China) [Abstract] Objective: In order to promote emergency rational drug use and to provide reference for the reserves of drugs ,we investigated the situation of the emergency prescriptions in our hospital。Methods:A total of 5 036 emergency prescriptions in our hospital from Jan.of 2007 to Sep.of 2007 were randomly selected and classified statistically by using Excel. Results: The main route of the 5 036 emergency prescriptions were the medical prescriptions,the pediatric prescriptions and the surgical prescriptions.The medicine which ranked first was anti-infectives（29.03%）.Intravenous infusion ranked first and intravenous drip available was the main route of administration（83.62%）. There were 143 cases of unreasonable drug interactions ,the rate was 2.84%. There were 1~4 kinds medicines in the main route of the prescriptions and the average species of drug were 3.11. The average expenditure were 92.78 RMB and the most amount of the prescriptions was 200 RMB below (89.95%). Conclusion: The medicines in emergency prescriptions in our hospital is small amount and accurate,but the reasonable drug combination are still elevated. [Key words] Prescriptions in the emergency departments;Rational drug use;Analysis 急诊处方是医生对罹患紧急疾病的患者诊查后作出的药物治疗方案，所用药物突出在“速效”上。本文通过对2007年我院急诊处方的调查分析，以期了解急诊处方的分布、处方用药情况、用药特点、及不合理用药等，旨在提高急诊用药的安全合理性，并为急诊合理用药及药房储药工作提供参考。现将结果报道如下： 1 资料与方法 随机抽取我院2007年1～9月的西药门诊急诊处方，从每月急诊处方中随机抽取各2天（共18 d）的处方(周末、节假日除外)，合计