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本文对卫Ⅷ项目地区重庆和甘肃的2个县的4个乡卫生院的953张药物处方进行调查,分析了药品使用情况。结果显示:平均每张处方用药数为4.08种;平均每张处方费用为15.61元;最常用药为维生素C、地塞米松等;中西药使用比例为1:5;抗感染药使用频率达31.3％,抗感染药处方百分率为62.78％;给药方式以口服为主,静注次之。笔者就此用药现状,提出了一些相应的建议与对策,为改善贫困地区乡镇卫生院的服务功能,提高卫生服务利用水平,规范乡镇卫生院医生的处方行为,促进合理用药提供参考。
This article investigates 953 medical prescriptions in 4 township health centers in 2 counties in Chongqing and Gansu in the VIII project area and analyzes drug use. The results showed that the average number of prescription drugs per case was 4.08; the average cost per prescription was 15.61 yuan; the most commonly used drugs were vitamin C and dexamethasone; the ratio of Chinese and Western medicines was 1:5; the frequency of use of anti-infective drugs was 31.3. %, the percentage of prescriptions for anti-infective drugs was 62.78%; the administration was mainly oral, followed by intravenous injection. Based on the current situation of medication, the author put forward some corresponding suggestions and countermeasures to improve the service function of township and township hospitals in impoverished areas, improve the level of health service use, standardize the prescription behavior of doctors in township hospitals, and promote the rational use of medication.