妇产专科门诊口服用药的处方构成及点评

Prescription Composition and Analysis of the Usage of the Oral Drugs in Gynecology and Obstetrics Outpatients

关键词:  妇产科用药  抗微生物药  妇科炎症

Key words:  obstetrics and gynecology medication  antimicrobial medicine  gynecological inflammation

摘要:

目的 了解妇产科医院门诊口服制剂药物的应用现状及处方特点。方法 对妇产科医院2010年1月—12月64.5万张门诊处方中口服药物的构成及处方规范性进行分析点评。结果 妇产科医院口服制剂的西药用药主要有抗微生物药、激素类药、孕期营养类药三大类，中成药用药主要有抗妇科炎症药、调经药、活血止血药、乳腺科用药四大类。因专科疾病本身的特殊性存在夫妇同服、内外联用等特点。结论 妇产科医院门诊患者是以妇科炎症和内分泌失调为主，应该加强对妇科抗生素和中成药用药的规范性，而对部分处方，因用药自身特点加以点评和探讨。

Abstract:

OBJECTIVE To understand the current application and characteristics of the oral administration drugs in Women's hospital. METHODS All of 645 000 outpatient prescriptions in the whole year of 2010 in Women’s Hospital were used to analyze the application of oral drugs. RESULTS The mainly used oral drugs in Women’s Hospital were western medicines and Chinese patent medicines. The former included antimicrobials, harmonic drugs, as well as nutritional drugs used during the pregnancy. The latter contained anti-inflammatory agents, emmenagogues, blood hemostatic medicines and drugs used in mammary gland. It was a common phenomenon to take the medicine with the husband or to use antibiotics internally and externally to treat vaginitis. CONCLUSION The gynecological inflammation and endocrine imbalance are the main diseases in Women’s Hospital. Therefore, the normalization of the application of antimicrobial medicines and Chinese patent medicines should be intensified. Meanwhile, it is controversial whether some prescriptions or thoughts are reasonable, and the author puts them forward to readers.