目的 分析黑龙江省农垦总局总医院2018-2019年门、急诊抗菌药物的使用情况，为门、急诊抗菌药物临床合理使用提供参考。方法 采用回顾性分析方法，将黑龙江省农垦总局总医院2018年7月-2019年6月门、急诊抗菌药物处方进行统计、分析。结果 共分析9 518张抗菌药物处方，其中不合理处方927张，不合理处方率为9.74%；其中不规范处方、用药不适宜处方和超常处方分别为207张（占22.33%）、666张（占71.84%）和54张（占5.83%）；主要表现为适应证不适宜和用法用量不适宜等。结论 黑龙江省农垦总局总医院2018-2019年门、急诊抗菌药物的使用仍存在不合理现象，需加强处方审核，以确保抗菌药物临床合理使用。

Objective To investigate the use of antibacterial drug in outpatient and emergency department in General Hospital of Agriculture Bureau of Heilongjiang Province from 2018 to 2019, and provide reference for rational use of antibacterial drug in the clinic. Methods In retrospective study, antibacterial drug prescriptions in outpatient and emergency department in General Hospital of Agriculture Bureau of Heilongjiang Province from July 2018 to June 2019 were analyzed statistically. Results 9 518 Prescriptions of antibacterial drug were analyzed, 927 prescriptions were irrational, and the irrational rate was 9.74%; among which, 207 (22.33%) were non-standard prescriptions, 666 (71.84%) were inappropriate prescriptions, and 54 (5.83%) were off-label drug use; the inappropriate drug use manifested as inappropriate in dosage and administration, inappropriate in indications. Conclusion Unreasonable use still exists in the use of antibiotics in outpatient and emergency department in General Hospital of Agriculture Bureau of Heilongjiang Province from 2018 to 2019, need to strengthen prescription audit, to ensure rational use of antibiotics in the clinic.

R978.1

黑龙江省垦区科研项目（HNK125A-1309）