目的：了解国家基本药物制度及解放军第152中心医院（以下简称“我院”）基本药物使用状况，对基本药物临床使用情况进行综合评价。方法：利用医院信息系统和合理用药监测系统，对我院每月国家基本药物的使用品种数、销售金额和医嘱进行分析。结果：我院2014—2015年使用基本药物品种数占药品总品种数的构成比较稳定；基本药物销售金额占药品总销售金额的比例为11．5％～16．4％；住院患者人均基本药物使用品种数构成比为44．8％～63．7％；2014—2015年化学药品销售金额排序居前10位的药物主要为调节水、电解质平衡药，血液系统用药，抗微生物药，消化系统用药，品种变化不大。2014—2015年我院中成药销售金额排序居前10位的品种基本相同，且中成药活血化瘀类药物所占比例较大。结论：我院基本药物的使用未达到河南省的相关要求，基本药物使用率有待提高，需要加大宣传基本药物政策，促进临床合理用药。%OBJECTIVE:To investigate the application status of national essential drugs in NO .152 Central Hospital of PLA( hereinafter referred to as “our hospital”) during 2014-2015, and to comprehensively evaluate the application of essential drugs in clinic .METHODS: Statistical analysis was conducted on the number of categories , consumption sum and medical orders in our hospital based on the data of HIS and the pass system .RESULTS:During 2014-2015, the constituent ratio of essential drugs to the total number of drug categories was stable ; the constituent ratio of consumption sum of essential drugs to total consumption sum was 11.5%-16.4%;and the constituent ratio of number of categories per person in inpatients was 44.8%-63.7%.The top 10 chemical drugs ranked by consumption sum during 2014-2015 were respectively drugs for adjusting the water electrolyte balance , blood system drugs , antimicrobial drugs and digestive system drugs;and categories of drugs had no obvious change .The categories of the consumption sum of the top 10 Chinese patent medicines during 2014-2015 were basically the same , and the ratio of activating blood circulation took the lead .CONCLUSIONS: The application of essential drugs in our hospital do not meet the requirements of Henan province , the application rate of essential drugs needs to be improved by making propaganda of essential drugs policy and promoting rational drug application in clinic .
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