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目的通过对辽宁省城市社区卫生服务中心、乡镇卫生院处方情况的调查,分析基层卫生机构不合理用药原因,为促进临床合理用药提供详实的数据和对策建议。方法随机抽取基层卫生机构中2007年处方,抄录在调查表中,按照世界卫生组织(WHO)合理用药指标进行分析。结果基层医疗机构存在平均处方用药数、平均处方费用偏高,基本药物使用比例偏低,抗菌药、激素、注射剂使用不合理,存在多药联用等用药不规范、不合理的现象,乡镇卫生院这些现象更为严重。结论应进一步提高基层医疗机构合理用药水平,保障基层公众安全、有效、经济用药的目的。
Objective To investigate the prescriptions of urban community health centers and township hospitals in Liaoning Province, and to analyze the causes of irrational drug use in primary health care institutions and to provide detailed data and countermeasures for the promotion of clinical rational drug use. Methods Randomly select the prescriptions of primary health care institutions in 2007, copy them in the questionnaire, and analyze according to the World Health Organization (WHO) rational use of drugs. Results There was an average number of prescription drugs in the primary medical institutions, the average prescription cost was high, the proportion of essential drugs used was low, the use of antibacterial drugs, hormones and injections was irrational, and there were irregular and unreasonable use of drugs such as multi-drug combination. Township health These phenomena are even more serious. Conclusion It is necessary to further improve the rational use of medicine in primary medical institutions and ensure the safety, effectiveness and economical use of medicines by grass-roots public.