【摘要】 目的:了解"新农合"后农村乡镇卫生院住院患者病种构成和药物使用情况,促进临床合理用药。方法:采用抽样调查的方法,对10个乡镇卫生院320例住院患者"‘新农合’住院审核补助凭据"中的住院详细信息进行分类调查。结果:系统疾病排名前3位的是泌尿生殖系统疾病(27.19%)、循环系统疾病(25.31%)、消化系统疾病(15.31%)。人均住院费为988元,平均住院时间为12d,药费占总费用的64.31%。抗菌药物居首位,占用药总金额的39.12%;心脑血管系统用药占第2位(24.24%),以活血化瘀的中药注射液为主;输液及电解质类占第3位(14.13%)。抗菌药物使用率为94.38%,平均使用抗菌药物2.61种。基本药物使用率为69.69%,基本药物用药金额占总用药金额的76.78%。结论:乡镇卫生院以药物治疗为主,抗菌药物在用药金额消费结构中占很大比例,需进一步加强抗菌药物合理应用的管理。更多还原

【Abstract】 OBJECTIVE:To understand the drug use of inpatients in township health center after the implementation of New Rural Cooperative Medical System(NRCMS)and to provide reference for rational use of drugs.METHODS:The hospitalization information of 320 inpatients from 10 township health centers in "evidence of NRCMS hospitalization auditing allowance" was investigated and classified systematically by using sampling survey method.RESULTS:The top 3 systemic diseases were genitourinary system diseases(27.19%),circulatory diseases(25.31%) and digestive system diseases(15.31%).The cost of hospitalization was 988 yuan per capita for 12 days in hospital.The expense of medicine was 64.31% in total cost of hospitalization.And the cost of antibiotics was 39.12% in total drug expenses and took up the first place,followed by drugs for cardiovascular system(24.24%),there were mainly TCM injection for activating blood and dissolving stasis;infusion and electrolyte type occupied the third place(14.13%).The utilization ratio of antimicrobial drug was 94.38%,involving 2.61 kinds of antibiotics averagely.The utilization ratio of essential drugs was 69.69%.The cost of essential drugs accounted for 76.78% of total drug cost.CONCLUSION:In township health center,the treatment is mainly based on drugs,among which antimicrobial drug occupy a large proportion of drug cost.The management of rational use of antimicrobial drug needs to be further strengthened.更多还原