门诊老年呼吸道感染患者建立合理用药量化评分体系的研究

杨波

（咸阳市中心医院药学部，陕西 咸阳，712000）

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摘要：

目的 研究门诊老年呼吸道感染患者合理用药量化评分体系的建立途径和干预效果。方法 选取2014 年3 月至2015年3 月的1 000 份用药处方为干预前组（实施普通药事管理模式），选取2015 年4 月至2016 年4 月的1 000 份用药处方为干预 后组（实施合理用药量化评分表）。比较两组合理用药情况。结果 干预后组抗菌药物使用率明显低于干预前组，且合理用药量化 评分、合理用药率明显高于干预前组，处方平均药品数、平均金额、抗菌药物使用强度均低于干预前组，差异均具有统计学意 义（P<0.05）。结论 合理用药量化评分体系有较强的可操作性，对减少门诊抗生素使用、提高呼吸道感染患者用药针对性和质 量有重要意义。
 

关键词：老年呼吸道感染；合理用药；量化评分体系

中图分类号：R95文献标志码：A文章编号：2096-1413(2018)02-0040-02

Study on the establishment of quantitative scoring system for rational drug use in outpatients with senile respiratory tract infection
YANG Bo
(Pharmacy Department, Xianyang Central Hospital, Xianyang 712000, China)

ABSTRACT: Objective To study the establishment and intervention effect of the rational drug use of quantitative scoring system in elderly patients with respiratory tract infection. Methods From March 2014 to March 2015, 1 000 prescriptions were selected as the pre-intervention group (with the implementation of general pharmacy management mode), and the 1 000 prescriptions from April 2015 to April 2016 were selected as the post-intervention group (with the rational drug use of quantitative scoring system). The rational use of drugs in the two groups was compared. Results In the post-intervention group, the utilization rate of antibiotics was significantly lower than that in the pre-intervention group; the score of rational drug use and rational drug use rate were significantly higher than those in the pre-intervention group; the average number of drugs in the prescription, average amount and antibacterial drug use strength were lower than those in the pre -intervention group; and all the differences were statistically significant (P <0.05). Conclusion The rational use of quantitative scoring system has a strong operability, which can reduce the use of outpatient antibiotics, and there is of great significance in improving the pertinence and quality of drug use in patients with respiratory tract infections.
KEYWORDS: elderly respiratory tract infection; rational drug use; quantitative scoring system

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