156所综合性医院住院患者静脉输液指标的综合分析
投稿时间:2016-07-21  修订日期:2017-09-07  点此下载全文
引用本文:王辉,谢欣苇,刘正跃,杨樟卫.156所综合性医院住院患者静脉输液指标的综合分析[J].药学实践杂志,2017,35(6):573~576
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作者单位E-mail
王辉 第二军医大学附属长海医院药学部, 上海 200433  
谢欣苇 上海拓富信息技术有限公司, 上海 201204  
刘正跃 第二军医大学附属长海医院药学部, 上海 200433  
杨樟卫 第二军医大学附属长海医院药学部, 上海 200433 15021062856@139.com 
中文摘要:目的 了解全国范围内不同等级医院的静脉输液及抗菌药物输液使用状况,评价分析医院床位数、所处地区和医院等级对输液临床应用的影响。方法 基于区域医疗数据网,获取156所样本医院的住院患者静脉输液和抗菌药物输液使用信息,分别按照医院床位数、所处地区、医院等级分组,统计分析住院患者静脉输液率、输液量等相关指标。结果 纳入统计的156所样本医院住院患者共计1 323 852例,整体静脉输液使用率为93.13%。住院患者平均每床日使用输液瓶(袋)数为3.76瓶,平均每床日使用输液体积为782.67 ml,人均输液时间为7.39 d。住院患者抗菌药物输液使用率整体为44.78%,平均每床日使用抗菌药物输液体积为92.48 ml。结论 我国医院的住院患者静脉输液率普遍偏高;医院规模越大,住院患者静脉输液量越大,提示医院规模越大,患者的病情相对越重;医院等级越高,抗菌药物输液率及输液量则越小,提示高等级医院抗菌药物使用相对更规范。
中文关键词:静脉输液  抗菌药物  区域医疗大数据  合理用药
 
Evaluation of the inpatient usage of intravenous infusion in 156 hospitals
Abstract:Objective To investigate the usage of intravenous infusion and the antibiotic intravenous infusion in different hospitals nationwide, and to evaluate the influence of the hospital bed number, hospital area and hospital grade on the clinical application of intravenous infusion.Methods Intravenous infusion volume, rate and other related indexes were analyzed based on the inpatient information obtained from the regional medical big data net for 156 hospitals.Results 1 323 852 inpatients were included in this study. 93.13% of those patients received intravenous infusion therapy. The average daily infusion volume was 782.67 ml per bed. The average infusion time was 7.39 days per patient. 44.78% of inpatients received intravenous antibiotic treatment. The average daily antibiotic infusion volume was 92.48 ml per bed. Conclusion Generally, the inpatient percentage of intravenous infusion was getting higher in China. The greater infusion volume in larger hospitals suggested that the patient's condition is relatively more serious in the larger hospital. The higher grade hospitals used smaller antibiotic infusion rate and volume, indicating the antibiotic use in high grade hospitals is relatively more standardized.
keywords:intravenous infusion  antibiotics  regional medical data  rational drug use
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