【摘要】 目的:了解外科住院患者的药费组成结构。方法:回顾性分析某院外科住院患者173份出院病历的用药结构。结果:患者平均住院时间为13.06d,平均总药费达5700元,占总住院费用的43.56%。治疗期间平均西药费占总药费的82.25%,手术期间平均药费占总药费的13.03%。给药方式以静脉给药为主,平均静脉给药药费占总药费的74.59%。抗生素是静脉给药的主要药物,占静脉给药金额的65.63%,占总药费的48.95%。心外科患者药费比例最低。结论:积极开展药物经济学研究,合理选择药物及给药途径,防止抗生素滥用,降低药费是可能的。更多还原

【Abstract】 OBJECTIVE:To investigate the composition of drug expenses in surgical inpatients.METHODS:The case histories of 173 patients who had been discharged from surgical department were analyzed retrospectively in terms of the medication structure.RESULTS:Patients’ average length of stay in hospital was for 13.06 days and their average total drug cost reached 5,700 yuan,accounting for 43.56% of the total hospitalization fee.The average western drug fee during the period of treatment represented 82.25% of the total and that during operation accounted for 13.03%.The route of medication were chiefly through intravenous way,accounting for 74.59% of the total drug expenses.Leading the list of intravenous drugs were antibiotics,accounting for 65.63% of consumption sum of total intravenous drugs and 48.95% of the total drug expenses.The drug expenses in cardiac surgical patient saw the lowest proportion.CONCLUSION:Drug expenses could be effectively reduced through the practice of pharmacoeconomics,rational choices of both drugs and route of administrations and prevention of abuse of antibiotics.更多还原