实行临床用药督导的成效及396份药历分析

目的通过实行临床用药督导制度了解我院抗菌药物应用情况。方法采取随机抽样，对我院2001年6月至12月期间医院临床用药督导专家组督导药历进行分析。结果共调查396份药历，合理应用抗菌药物药历258份(65．15％)，基本合理99份(25％)，不合理39份(9．85％)，与2000年相比，抗菌药物使用率下降了8％，医院每床日药费下降了3．34％，医院药品收入占总收入比例下降3．25％。结论临床用药督导促进了抗菌药物合理应用。

Effects of drug-use monitoring and analysis of 396 medical records

Objective To study the situation of rational antimicrobial use in our hospital by monitoring the drug use.Methods 396 medical records of inpatients from June to December 2001 were randomly collected and analysed by drug use monitoring experts.Results In 396 analysed medical records,the percentage of rational,roughly rational,and irrational antimicrobial use were 65.15%,25% and 9.85%,respectively.In comparison with those of 2000,the percentage of antimicrobial treated patients in the 396 collected inpatients,the daily cost per inpatient,and the ratio of drug expenses to annual incomes in our hospital decreased by 8%,3.34% and 3.25%,respectively.Conclusion Drug use monitoring prompts the rational antimicrobial use.