我院20个病种临床用药调研

目的：了解临床用药现状，考察药物应用及调研指标的合理性。方法：选择本院１９９５年住院患者中２０个常见病种，按费别分为免费、自费、公费３组或以内、外科系为单位，采用合理用药调研的国际指标及自设指标，对临床用药进行全方位调研。结果：各组人群的主要调查指标值无显著差别，表明不合理用药仅在程度上略有不同。结论：所采用的调研指标切实可行，能全面客观地反映出临床用药现状；不论何种病种和费别，不合理用药问题严重。

Survey of Rational Drug Use for Twenty Diseases

OBJECTIVE: To understand the current situation of clinical drug use and to inspect the rationality of drug use and survey indices. METHODS: Twenty common diseases(1 530 cases ) treated in this hospital in 1995 were selected. Patierits were divided into three groups according to the sources of expenses: free of charge, self - expense, public - expense or into cases of internal medical and surgical departments. Using selected drug use indicators(SDUI) and self - designed indices, clinical drug use were surveyed and analyzed. RESULTS: There were no significant differences between each group jn main indices. It showed that irrational drug use was only different in degree. CONCLUSION: ①The indices adopted are practicable and rational for surveying and studying the rational drug use objectively. ②In any health care system and in any disease, the irrational drug use was serious.