芦山地震后1月内四川大学华西医院应急药品保障分析
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摘要
目的收集和分析汶川地震和芦山地震四川大学华西医院的应急药品使用数据,为科学、高效地开展应急救援药品后勤保障工作,提高类似突发事件的应对能力提供依据。方法以药品使用构成比和用药频度为评价指标,使用Excel软件进行数据录入,对芦山地震后当日～1月内该院地震伤员救治药品使用情况、药品金额以及汶川与芦山两次地震捐赠药品接收、分配和使用情况进行分析。结果芦山地震后1月内该院地震伤员用药共涉及26类、455个品规,其中治疗性用药量和用药频度高于辅助性用药;共接收捐赠药品8类、16个品规,本时间段均用于院内地震伤员救治。芦山地震后所接收的捐赠药品品规数和药品总金额分别较汶川地震减少90.91%和89.73%,实施了以收治地震伤员用药信息为导向的院内应急药品保障机制,应急药物的分配相对更准确、高效。结论实施以收治地震伤员用药信息为导向的应急药品保障机制,有助于提升地震医学救援的时效性和针对性。
Objective To collect and analyze the data of emergency medicine supply for both Wenchuan and Lushan earthquakes victims in the West China Hospital,so as to provide evidence for scientifically and efficiently carrying out the logistical support for emergency rescue medicines supply,and improving the coping capacity for those similar public health emergencies.MethodsBoth medicine constituent ratios and DDDs were taken as evaluation indexes,and the data were input by Excel software.Then the following items were analyzed: the use and cost of emergency medicine for victims admitted in the hospital from one day to one month after earthquake,as well as,the acceptance,allocation and use of the donation medicines for both Wenchuan and Lusan earthquakes.ResultsDuring the first month after Lushan earthquake,the victims used 26 categories of medicines involving 455 drug specifications in the West China Hospital.The dosage and DDDs of therapeutic medicines were higher than those of ancillary medicines.The donation medicines for Lushan earthquake accepted by the hospital were in 8 categories involving 16 drug specifications,and they were all used to rescue the victims in the hospital.Based on the hospital emergency medicine supply system oriented by the information of victim's medicine use,the drug specification and total drug cost of the donation medicines for Lushan earthquake decreased by 90.91% and 89.73%,respectively,indicating a more accurate and efficient system compared with those for Wenchuan earthquake.ConclusionThe implementation of the hospital emergency medicine supply system oriented by the information of victim's medicine use is helpful to improve the time efficiency and pertinence of earthquake medical rescue.
Objective To collect and analyze the data of emergency medicine supply for both Wenchuan and Lushan earthquakes victims in the West China Hospital,so as to provide evidence for scientifically and efficiently carrying out the logistical support for emergency rescue medicines supply,and improving the coping capacity for those similar public health emergencies.MethodsBoth medicine constituent ratios and DDDs were taken as evaluation indexes,and the data were input by Excel software.Then the following items were analyzed: the use and cost of emergency medicine for victims admitted in the hospital from one day to one month after earthquake,as well as,the acceptance,allocation and use of the donation medicines for both Wenchuan and Lusan earthquakes.ResultsDuring the first month after Lushan earthquake,the victims used 26 categories of medicines involving 455 drug specifications in the West China Hospital.The dosage and DDDs of therapeutic medicines were higher than those of ancillary medicines.The donation medicines for Lushan earthquake accepted by the hospital were in 8 categories involving 16 drug specifications,and they were all used to rescue the victims in the hospital.Based on the hospital emergency medicine supply system oriented by the information of victim's medicine use,the drug specification and total drug cost of the donation medicines for Lushan earthquake decreased by 90.91% and 89.73%,respectively,indicating a more accurate and efficient system compared with those for Wenchuan earthquake.ConclusionThe implementation of the hospital emergency medicine supply system oriented by the information of victim's medicine use is helpful to improve the time efficiency and pertinence of earthquake medical rescue.
引文
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2陈竺,沈骥,康均行,等.特大地震应急医学救援:来自汶川的经验.中国循证医学杂志,2012,12(4):383-392.
3姜洁,李幼平,王觅也,等.玉树与汶川地震医学救援比较研究.中国循证医学杂志,2010,10(5):550-554.
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5金朝辉,杨林,马音,等.赈灾药品后勤保障工作体会.中国医院药学杂志,2009,29(8):674-675.
2陈竺,沈骥,康均行,等.特大地震应急医学救援:来自汶川的经验.中国循证医学杂志,2012,12(4):383-392.
3姜洁,李幼平,王觅也,等.玉树与汶川地震医学救援比较研究.中国循证医学杂志,2010,10(5):550-554.
4石应康,郑尚维,邓绍林.用汶川经验到玉树医学救援.中国循证医学杂志,2010,10(4):373-375.
5金朝辉,杨林,马音,等.赈灾药品后勤保障工作体会.中国医院药学杂志,2009,29(8):674-675.
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