【摘要】 目的:提高麻风病患者合理用药水平。方法:对我院住院部西药房2013年1月-2014年9月2 692张处方中的患者年龄、性别、处方金额、临床诊断以及使用率较高的抗菌药物及非甾体抗炎药(NSAIDs)的使用情况进行统计、分析。结果:2 692张处方涉及2 155名患者,其中,≥61岁占68.08%,男性占75.27%;处方平均金额20.02元;麻风病患者并发症及其他疾病临床诊断前3位的是麻风溃疡(18.56%)、上呼吸道感染(15.82%)和麻风眼病(12.48%);抗菌药物应用率为37.03%,NSAIDs在由麻风杆菌侵害引起的关节损害、麻风溃疡和麻风眼病的使用率分别是94.26%(115/122)、42.25%(169/400)和16.73%(45/269)。结论:我院抗菌药物存在一定的滥用现象。建议加大对医师抗菌药物使用知识的普及,并结合患者长期用药的特点,选用疗效确切、不良反应小的药物。更多还原

【Abstract】 OBJECTIVE:To provide reference for rational drug use in leprosy patients.METHODS:We counted and analyzed the age and gender of the patients,prescription amount,the diagnosis,the usage of higher rates of use of antibacterials and NSAIDs drugs of 2 692 prescriptions in pharmacy of hanzhong sanatorium from January 2013 to September 2014.RESULTS:Among 2 155 patients,the patients aged ≥61 accounted for 68.08% and males accounted for 75.27%.The average amount of prescription was 20.02 yuan.The top three diseases were leprosy ulcers,upper respiratory tract infection and leprosy ophthalmopathy.The utilization rate of antimicrobial were 37.03%.The utilization rates of NSAIDs for joint damage,leprosy ulcers and leprosy ophthalmopathy which were all caused by Bacillus leprae were 94.26%(115/122),42.25%(169/400)and 16.73%(45/269),respectively.CONCLUSIONS:There is a certain abuse of antibacterials.It’s suggested to stiengthen spreading of antibacterial knownledge,and physicians should choose NSAIDs with definite efficacy and less ADR based on the characteristics of long-term drug use.更多还原