我国医院不合理用药表现形式的文献分析

目的:分析我国医院不合理用药的表现形式。方法:以关键词"医院"、"不合理用药"对1998～2008年中国知网期刊全文数据库中的文献进行检索,得到不合理用药方面相关学术研究论文23篇,并进行归纳、分析和总结。结果:我国医院不合理用药的表现形式主要有药物用法用量不合理、药物配伍不合理、药物选择不合理、重复用药、非医学失误、抗生素滥用、激素滥用,其中最主要表现形式为药物用法用量不合理、药物配伍不合理等。结论:针对以上表现形式,必须对我国医院药事管理体系进行系统的、全方位的思考,采取多方面的、科学的干预措施,才能切实有效的提高我国医院合理用药水平。

Literature Analysis on the Manifestations of Hospital Irrational Drug Use

OBJECTIVE： To analyze the manifestations of hospital irrational drug use. METHODS： By retrieving CNKI full text data base from 1998 to 2008 with ＂hospital＂ and ＂irrational drug use＂ as keywords, a total of 23 research papers related to irrational drug use were obtained and which were summarized analytically. RESULTS： The irrational drug use in our hospital manifested predominantly as irrational usage and dosage and unreasonable compatibility of drugs followed by irrational selection of drugs, repeated drug use, non medical error, and abuse of antibiotics or hormones. CONCLUSION： In view of the above manifestations, it is urgent to take full consideration of the hospital pharmaceutical administration system in China and take multi sided scientific intervention countermeasures so as to effectively improve the level of rational drug use in our hospital.