基层医院消化系统常见病临床用药分析
作者:佚名; 更新时间:2013-10-03

【摘要】目的 为社区医院消化系统用药提供合的用药指导。方法 消化系统疾病是社区常见病,多表现在腹痛,腹胀,腹泻,反酸,呕吐等症,中国职称论文发表写作网,本次研究以社区多发病常见病为出发点,选取急性胃炎,慢性胃炎,急性肠炎为观察点,结合社区临床用药,随机选取处方300张,通过对社区医师用药与对症处理分析,归纳出消化系统常见病用药指征,为社区临床用药提供有效帮助,规范合理用药。结论 消化系统合理用药须从基层社区医院做起。
关键词】 消化系统疾病 合理用药 临床用药分析
【Abstract】 objective For community hospital digestive system drugs, provide medication guide. Method The digestive system disease is a common community, much performance in abdominal pain, abdominal distention, diarrhea, acid regurgitation, vomiting syndrome, this study to community frequently occurring disease common disease for hair also point, the selection of acute gastritis, chronic gastritis, acute enteritis for observation point, combining with community clinical medication, random selection prescription 300 copies, through to the community doctors cure drug use and analysis, summarized the common digestive system drugs indications, clinical medicine for the community to provide effective help, regulating the rational drug use. Conclusion The digestive system rational drug use should be made from the grassroots community hospitals .
社区消化系统疾病多见于消化系统感染或物理化学因素引起的消化道损害,如胃炎,肠炎等。临床指征胃炎表现在上左上腹胀痛,反酸,呕吐;肠炎表现在腹痛,腹泻,大便次多等等,给病员生活工作带来不便。因由细菌感染引起胃肠炎,对因治疗上多采用抗生素,如阿莫西林,甲硝唑,诺氟沙星,左氧氟沙星等;对症治疗以减轻病痛,促进胃动力为主,如阿托品,山莨菪碱,甲氧氯普胺,多潘立酮等,同时配以中成药元胡止痛滴丸,香砂六君子丸,藿香正气口服液等。现针对三个病种急性胃炎,慢性胃炎,急性肠炎随机抽取处方300张(每个病种100张)统计用药如下。

1 对因治疗

阿莫西林胶囊

诺氟沙星胶囊

左氧氟沙星片

甲硝唑片

法莫替丁片

三九胃泰

急性胃炎

32(47.8%)

0

0

0

22(32.8%

13(19.4%)

慢性胃炎

33(21.5%)

0

0

72(46.1%)

24(32.4%)

0

急性肠炎

0

33(40.7%)

48(59.3%)

0

0

多潘立酮

颠茄片

甲氧氯普胺

阿托品

多酶片

元胡止痛滴丸

急性胃炎

45(36.6%)

14(11.3%)

14(11.3%)

31(25.2%)

10(8.1%)

9(7.3%)

慢性胃炎

25(24.0%)

39(37.5%)

0

0

40(38.5%)

0

急性肠炎

7(4.6%)

104(68.4%)

0

21(21.2%)

0

20(19.2%)


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