肿瘤医院急诊处分析.doc

学术诚信声明 本人所呈交的毕业论文，是在导师的指导下，独立进行研究工作所取得的成果，所有数据、图片资料均真实可靠。除文中已经注明引用的内容外，本论文不包含任何其他人或集体已经发表或撰写过的作品或成果。对本论文的研究作出重要贡献的个人和集体，均已在文中以明确的方式标明。本毕业论文的知识产权归属于培养单位。本人完全意识到本声明的法律结果由本人承担。 本人签名： 日期： 肿瘤医院急诊处方分析 [摘要]目的:了解我院急诊处方的状况, 为促进急诊合理用药及药房储药工作提供参考。方法:抽取我院2012年1月～2013年9月的西药门诊急诊处方3224张, 利用Excel软件对处方进行分类、统计。结果:3224张急诊处方中, 患者急诊用药品种相对单一，抗菌药物使用率偏高(占总处方16.5%)，注射剂使用率较大;处方用药以1～3种为主(占总处方81.67%), 平均每张处方用药2.27种;在不合格处方中书写不规范是主要原因，其中以用法用量、药品名称和药品规格书写不规范最明显。结论:我院患者用药情况基本合理，但处方书写仍存在不规范现象，需进一步改善和提高。 [关键词]急诊处方;处方分析;用药情况 Emergency Prescription Analysis in Antitumor Centre [Abstract] Objective: In order to promote emergency rational drug use and to provide reference for the reserves of drugs, we investigated the situation of the emergency prescriptions in our hospital. Methods: A total of 3224 emergency prescriptions in our hospital from January. of 2012 to September. of 2013 were randomly selected and classified statistically by using Excel. Results: In the main route of the 3224 emergency prescriptions,the drug category in emergency department was little. Utilization ratio of antibacterial agent was higher while utilization ratio and amount of injection was higher. There were 1~3 kinds medicines in the main route of the prescriptions and the average species of drug were 2.27(81.67% of the total prescription). Non-standard writing was the main reason for unqualified prescriptions, especially dosage and usage, drug name, drug specification. Conclusions: The medication in our hospital is rational basically, but prescription writing is non-standard. The writing of prescription should be improved. [Key words] Prescription emergency department; prescription analysis; drug usage situation 目 录 引 言 1 1.资料与方法 2 1.1数据来源 2 1.2方法 2 1.2.1药物的限定日剂量(DDD) 2 1.2.2用药频度(DDDs) 2 1.2.3药物利用指数（DUI） 2 2.处方内容的总体表现 3 2.1患者性别、年龄分布 3 2.2用药途径分布 4 2.3处方书写不规范情况 5 2.4处方药物分类构成 6 2.5各种药物出现次数分析 7 2.6处方药物品种数 8 3.抗菌药物使用情况 9 3.1抗菌药物种类分布情况 9 3.2抗菌药物销售