地震救援药品供应和使用情况对比分析
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摘要
目的:探讨地震救援药品的供应和使用规律,为制定、修改《地震救援药材储备目录》提供参考。方法:分别对汶川地震震后1周绵阳市中心医院和成都某药品仓库的抗感染和消毒/皮肤/五官类药使用和供应数据进行对比分析。结果:喹诺酮类、青霉素类药供应和使用比例基本一致,大环内酯类药的使用是供应比例的2.3倍,硝基咪唑类药的使用是供应比例的5.2倍,头孢菌素类药的供应是使用比例的3.5倍,磺胺类药的供应是使用比例的5.5倍,消毒/皮肤/五官类药中过氧化氢溶液供应不足。结论:建议将抗感染类药13个品种、消毒/皮肤/五官类药11个品种列入《地震救援药材储备目录》,同时应考虑选取合适的规格,储存、携带、使用的方便,以及不同时期发病谱存在差异等因素。
OBJECTIVE:To discuss the supply and usage rule of earthquake relief drugs,and to provide some reference for establishing and correcting Earthquake Relief Drugs Reserve Directory.METHODS:The use and supply of anti-infective drugs and disinfection/skin/five-sense-organs drugs collected from Mianyang Central Hospital and a drugstore in Chengdu 1 year after Wenchuan earthquake were analyzed comparatively.RESULTS:The supply and use of quinolone and penicillin were basically the same proportion.The use of macrocyclic lactones was 2.3 times as supply ratio.The ratio of nitroimidazole drugs use was 5.2 times as supply ratio.The supply ratio of cephalosporin drugs was 3.5 times as use ratio.The supply ratio of sulfa drugs was 5.5 times as use ratio.Hydrogen peroxide solution was in short supply for disinfection/skin/five-sense-organs drugs.CONCLUSIONS:It is recommended to include 13 species of anti-infection drugs and 11 species of disinfection/skin/five-sense-organs drugs in Earthquake Relief Drugs Reserve Directory.We should pay attention to the appropriate specification,convenience of storage,carrying and use and difference of disease spectrum in different periods.
OBJECTIVE:To discuss the supply and usage rule of earthquake relief drugs,and to provide some reference for establishing and correcting Earthquake Relief Drugs Reserve Directory.METHODS:The use and supply of anti-infective drugs and disinfection/skin/five-sense-organs drugs collected from Mianyang Central Hospital and a drugstore in Chengdu 1 year after Wenchuan earthquake were analyzed comparatively.RESULTS:The supply and use of quinolone and penicillin were basically the same proportion.The use of macrocyclic lactones was 2.3 times as supply ratio.The ratio of nitroimidazole drugs use was 5.2 times as supply ratio.The supply ratio of cephalosporin drugs was 3.5 times as use ratio.The supply ratio of sulfa drugs was 5.5 times as use ratio.Hydrogen peroxide solution was in short supply for disinfection/skin/five-sense-organs drugs.CONCLUSIONS:It is recommended to include 13 species of anti-infection drugs and 11 species of disinfection/skin/five-sense-organs drugs in Earthquake Relief Drugs Reserve Directory.We should pay attention to the appropriate specification,convenience of storage,carrying and use and difference of disease spectrum in different periods.
引文
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[9]任雪松.2005-2007年我院抗感染药物利用分析[J].四川医学,2008,29(9):1271.
[10]肖光夏.气性坏疽的特点与处理注意事项[J].中华烧伤杂志,2008,24(4):244.
[11]江南,陈蜀岚,吴佳玉,等.地震伤后20例气性坏疽患者伤口细菌分布[J].中华内科杂志,2008,47(9):715.
[12]李健,商磊,祝波,等.华西医院5.12地震伤员抗生素应用分析[J].华西医学,2008,23(5):1056.
[13]邢茂,枉前,江敏,等.从汶川地震医疗救助谈地震灾害中的药品保障[J].第三军医大学学报,2008,30(16):1578.
[14]何忠杰,冯光,唐志雄,等.四川地震野战医院门诊伤病员疾病谱分析[J].中国急救医学,2008,28(9):796.
[15]李盛华,张彦军,周明旺,等.汶川地震陇南灾区伤情调查与分析[J].中国骨伤,2008,21(10):744.
[2]刘纪宁,王羽,刘云兵,等.四川地震疾病谱对医学救援的意义[J].中国急救医学,2008,28(6):513.
[3]马明湘,郭屏,肖友益,等.地震灾后短期疾病谱的变迁及医疗预防应对措施探讨[J].中山大学学报,2008,29(4):372.
[4]薛力,陈敏,尹代红,等.成都市第三人民医院563例汶川地震伤员救治分析[J].中国循证医学杂志,2008,8(8):597.
[5]许树云,曹枉,王一平.急诊收治“5.12”汶川大地震伤病员的流行病学特点[J].中国危重病急救医学,2008,20(6):360.
[6]冯兰超.“5.12”地震期间我院药品应用分析[J].中国医院用药评价与分析,2008,8(8):595.
[7]陈新谦,金有豫,汤光.新编药物学[M].第16版.北京:人民卫生出版社,2003:1.
[8]肖克来提,阿力叶木.住院病人抗菌药物利用情况分析[J].中国药物应用与监测,2008,5(4):17.
[9]任雪松.2005-2007年我院抗感染药物利用分析[J].四川医学,2008,29(9):1271.
[10]肖光夏.气性坏疽的特点与处理注意事项[J].中华烧伤杂志,2008,24(4):244.
[11]江南,陈蜀岚,吴佳玉,等.地震伤后20例气性坏疽患者伤口细菌分布[J].中华内科杂志,2008,47(9):715.
[12]李健,商磊,祝波,等.华西医院5.12地震伤员抗生素应用分析[J].华西医学,2008,23(5):1056.
[13]邢茂,枉前,江敏,等.从汶川地震医疗救助谈地震灾害中的药品保障[J].第三军医大学学报,2008,30(16):1578.
[14]何忠杰,冯光,唐志雄,等.四川地震野战医院门诊伤病员疾病谱分析[J].中国急救医学,2008,28(9):796.
[15]李盛华,张彦军,周明旺,等.汶川地震陇南灾区伤情调查与分析[J].中国骨伤,2008,21(10):744.
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