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目的:对基层医院呼吸内科住院患者抗生素的使用情况进行统计,并给出相应建议。方法:选取2015年6月~2016年6月某一基层医院呼吸内科住院患者200例,进行抗生素使用情况的统计分析,具体包括抗生素使用的种类和抗生素的给药方式及药物联用情况进行统计。结果:抗生素使用频率调查中,头孢哌酮舒巴坦钠和哌拉西林舒巴坦钠使用的最多,概率分别为44.50%和43.00%,且所有抗生素均为广谱抗生素,抗细菌药物居多;同时,抗生素的给药途径多为静脉滴注和口服给药,比例分别为62.00%和54.00%;药物联用调查中,二联的数量最多,比例为54.50%。结论:基层医院呼吸内科抗生素的使用多为广谱抗生素,对疾病缺乏一定的针对性,存在不合理用药的情况,应加强基层内科医生抗生素合理应用相关培训,规范抗生素合理应用。
OBJECTIVE: To make statistics on the use of antibiotics in residency inpatients of primary hospital and to give corresponding suggestions. Methods: From June 2015 to June 2016, 200 patients hospitalized in the respiratory department of a grass-roots hospital from June 2015 to June 2016 were selected for statistical analysis of antibiotic use, including statistics on the types of antibiotics used and the antibiotic administration mode and drug combination . Results: The frequency of antibiotic use, cefoperazone and sulbactam sodium and piperacillin and sulbactam sodium use the highest probability of 44.50% and 43.00%, and all antibiotics are broad-spectrum antibiotics, antibacterial drugs are mostly; At the same time, antibiotic administration was mostly intravenous drip and oral administration, the proportions were 62.00% and 54.00% respectively. In the drug combination survey, the number of the two groups was the highest, with a proportion of 54.50%. Conclusions: The use of antibiotics in respiratory medicine in primary hospitals is mostly broad-spectrum antibiotics, which are not targeted to the disease. There are cases of irrational use of antibiotics. We should strengthen the training of rational use of antibiotics in primary physicians and regulate the rational application of antibiotics.