门诊处方基本指标评价及用药合理性分析

目的:了解广西医科大学第一附属医院门诊处方综合用药指标和合理用药情况,促进临床合理用药。方法:对我院2010年5月—2011年10月处方点评结果进行回顾性汇总分析。结果:统计我院门诊处方共计9 000张,主要用药指标如下:平均每张处方用药1.95种,抗菌药物使用率为24.78%,注射剂使用率为14.68%,国家基本药物使用率为28.23%,药品通用名使用率为99.78%,平均每张处方金额为177.16元。9 000张处方中,合理处方为8 151张,占90.57%;不合理处方为849张,占9.43%,不合理处方中绝大多数是不规范处方,用药不合理处方和超常处方占少数。结论:我院门诊用药基本合理,但国家基本药物使用率和处方合格率仍有待提高。

Evaluation of Basic Indicators in Outpatient Prescriptions and Analysis of Rationality in Drug Use

OBJECTIVE: To investigate the drug use indicators in outpatient prescriptions in the First Affiliated Hospital of Guangxi Medical University and the irrationality of drug use so as to improve clinical rational drug use.METHODS: The results of prescription comment in our hospital from May 2010 to Oct.2011 were retrospectively analyzed.RESULTS: A total of 9 000 outpatient prescriptions were reviewed.An average of 1.95 drugs were prescribed per prescription.The percentages of encounters with prescribed antibiotics and injections were 24.78% and 14.68%,respectively.The percentage of drugs prescribed from essential drug 28.23%.The percentage of drugs prescribed in generic names was 99.78%.The average drug cost per prescription was 177.16 Yuan.The rates of qualified and irrational prescriptions were 90.57% and 9.43%,respectively.The majority of irrational prescriptions were non-standard ones,with irrational drug use prescriptions and off-label use prescriptions showing little proportion.CONCLUSION: The outpatient drug use in the hospital was rational on the whole;however,the utilization rate of national essential drugs and the rate of qualified prescriptions remain to be increased further.