学术
外科住院患者临床用药结构分析
李荣凌[1] 段美琴[1] 夏艺[2] 杨芰[1]
[1]武汉大学人民医院,武汉市430060 [2]湖北中医学院,武汉市430064
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。[著者文摘]
文章出处:
《中国药房》-2007年18卷11期 -830-831页
栏目信息:
文献标识码:
C
文章编号:
1001-0408（2007）11-0830-02
Structural Analysis on Clinical Medication of Surgical Inpatients
LI Rongling, DUAN Meiqin, YANG Ji,XIA Yi（People＇ s Hospital of Wuhan University,Wuhan 430060, China;Hubei College of TCM,Wuhan 430064,China）
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.[著者文摘]
Key words:
Surgical inpatients; Drugs expense; Clinical medication structure ; Intravenous administration ; Antibiotic
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