目的 对九江学院附属医院消化内科门诊处方进行分类点评, 了解治疗消化性溃疡基本药物的使用情况, 评价用药合理性。方法 利用医院信息系统(HIS)的处方信息, 从江西九江学院附属医院2013年12月的消化内科门诊处方中筛选出消化性溃疡处方, 点评分析基本药物使用情况以及处方使用合理性。结果 该院使用基本药物治疗消化性溃疡的处方率为51.83%, 基本药物占处方用药金额14.75%, 未优先选用基本药物的处方占48.18%。使用基本药物不规范的处方占10.77%, 用药不适宜的处方占12.35%, 基本药物使用与《国家基本药物临床应用指南》不一致的处方占16.30%。结论 消化类处方基本药物不合理使用主要表现在用法用量不当、存在潜在的用药风险及药物相互作用、疗效降低等方面, 该院对国家基本药物制度的实施需要进一步加强。

Objective To evaluate the utility circumstance of essential drug prescription in Digestive Internal Medicine of Affiliated Hospital of Jiujiang College, to give the advice for improving the utilization rate and to provide the theoretical basis for developing the essential drugs. The evaluation on reasonable use of the essential drugs was carried out. Methods To make the random sampling of recipes in November, 2013 from the hospital computer system and give the evaluation according to Essential Drugs Prescription Review Guide. We used Excel to make the statistical analysis on the reasonable use. Results The essential drug prescription accounted for 51.83% in all sampling recipes; The cost proportion of essential drug prescription accounted for 14.75%; No preferably used essential drug prescription accounted for 48.18%; The no-standard essential drug prescription accounted for 10.77%; Inappropriate prescriptions with essential drugs accounted for 12.35%; The essential drug prescription inconsistent with National Essential Drugs Clinical Application Guide accounted for 16.30%. Conclusion The reasonable utilization rate of the essential drug prescription is relatively low in the hospital, which mainly embodies in the improper usage and dosage, a potential risk and drug interaction, and less effective. The implementation of national essential drug system needs to be strengthened.

九江学院校级教改课题立项项目(jyzc13-26)