Thực trạng kê đơn thuốc điều trị nội trú tại bệnh viện đa khoa tỉnh Hải Dương

•BUI VAN LENH

•NGUYIN QUOC TRUNG

•HOANG CAO SA

NGUYIN VAN CHUYEN,

PHAM NGOC CHAU

•OANG TH! VIET HA,

PHAM THXNG

•TRjNH VIET THANG

•TRAN QUANG TRUNG,

LE NGOC TRONG,

NGUY§N VAN HUNG,

NGUYEN HUYNH

•NGUYIN DUY HUE,

LE THANH DUNG,

NGUYIN QUOC K(NH,

Dir DL/C THIEN

•NGUYIN QUANG TUAN

VU TH! TRANG

•PHUNG MINH LUONG

•NGUYEN QUOC THAI,

NGUYEN LAN VIET.

•NGUYEN VAN HOC

•NGUYIN CONG HOANG

MUC LUC (So 755)

=> Dac diem hinh anh benh nam phdi tren Xquang thiTdng quy va chyp cat ldp vi tfnh

=> D^nh gia tinh trang siu rang, viem ldi va mot sd yeu td lien quan d mot nhom hoc

sinh 9 tudi

=> Danh gia hieu qua mo hinh giam sat an toan ve sinh thi/c pham di/a vao mang

lifdi y te dli phong - chi'nh quyen dja phi/dng va y te cd sci tai Bien Hoa

54

58

60

=> Oanh gia do day ldp npi trung mac dpng mach canh va dpng mach diji bang sieu 64

am Doppler d benh nhan chay than nhan tao chu ky

=> Mpt sd dac diem lam sang, mtfc dp di chifng va tht/c trang cham soc benh nhan 68

dot quy nao tai cpng ddng dan CLf tinh Khanh Hoa

=> Oanh gia hieu qua mpt sd giai phap tang ci/dng cong tac quan ly hanh nghe y iU 70

nhan tai thanh phd Da Ning (2007-2009)

Chan doan hinh anh trong chan doan chet nao 73

=> Nghien CIJXJ dac diem hinh thai hpc tdn thu'dng tai hep sau dat stent tren hinh anh 77

chijp dpng mach vanh chpn Ipc

=> Nghien cilfu benh viem xoang d dan tpc E De -Dai< Lak 80

=> Cac yeu td anh hUcing den tai hep trong Stent sau can thiep 6 cac benh nhan 81

nhdi mau cd tim cap

=> Hai trudng hdp v3 tCf cung trong thdi ky mang thai ma nguyen nhan la do sau md 85

chi!ra doan ke tCf cung qua npi soi chi dung dao dien ddt ddn thuan

=> Danh gia ket qua chan doan, dieu tri dau dau man tfnh do cac benh mui xoang 87

bang phiu thuat noi soi tai benh vien da khoa trung i/dng Thai Nguyen (8/2008 -

8/2010)

THUC TRANG KE DON THUOC OIEU TRI NOI TRU TAI BENH VIEN DA KHOA TINH HAI DUtTNG

TOM TAT

Miic tieu: (1) Dinh gii tht/c tr^ng ke don thuoc cho

nguoi b$nh dieu tri OQi tm t$i b$nh vi0n da khoa tinh Hai

Duong: (2) Mo ta rrtQt so yeu to lien quan den vi$c ke don

thuoc cho nguoi b$nh dieu tri OQI trii nam 2009. Phirang

phap nghien ci>u: Hoi cCru mo ta tai b$nh vi$n da khoa

tinh Hal Duong tren 772 b$nh an dieu tri npi tni. Ket qua:

Chi phi trung binh cho mpt dpi dieu tri/ngu-di b$nh la

2.110.707 dong, trong do chi phi cho thuoc chiem 50,7%.

Chi phi cho khang sinh (KS) chiem 50,2% tong chi phi

thuoc. Tat ca nguoi bpnh npi tni deu duoc chi dinh dung

thuoc, tmng binh so loai thuoc/nguoi b$nh la: 9,7. Duong

dung thuoc chu yeu la tiem va tmyin, han 2/3 so thuoc

duoc ke theo ten bipt dupc. KS duoc chi dinh kha rpng rai

(88,7%), trong khi ty lp chi dinh xet nghipm lam khang

sinh do trong so cac truong hop duoc chi ffinh KS la

10,1%. So tmong hop duoc dung tir 3 lo$i KS trdf ten la

13,8%, ty 1$ duoc ch! dinh KS cung nhom trong dot dieu

trj kha cao (12,1%). Ket lu$n: Chi phi cho thuoc noi

chung va cho KS noi rieng chiem mpt ty trpng Idn trong

tong chi phi dieu tn va tong chi phi cho thuoc; Ke don

thuoc noi chung va thuoc khang sinh chu^ hop ly ve

ph$m vi chi dmh, duong dung va thdi gian dCing.

TCF khoa: ke dan, su dtjng thuoc va KS, Vipt Nam.

LJONG NGOC KHUE, TRAN QUANG HUY

Bo Yte

SUMMARY

Objectives: (1) Assessment of the situation of drug

prescription for In-patients treated in hospital; (2)

Describe the related factors of drug prescription for in￾patients treated in hospital in 2009. Methods: cross￾sectional study was conducted for 772 eligible medical

records. Results: Average expenditure for a treatment

episode per in-patient i/vas VND 2,110,707, of which

50.7% was for medicines. Antibiotics accounted for

50.2% of total expenditure for medicines. All in-patients

were prescribed medicines with 9.7 types of drug

averagely. Dmgs were mainly given by roots of injection

or transfusion and more than 2/3 of medicines were

prescribed by brand names. Antibiotics were prescribed

for most In-patients (88.7%), while the rate of antibiotic

resistance test was done in 10.1% of cases receiving

antibiotics. Number of cases who were given 3 or more

antibiotics accounted for 13.8% and the rate of

antibiotics from the same group indicated was rather

high (12.1%). Conclusions: Expenditure on medicines

generally and on antibiotics in particular were quite high

in comparison to total expenditure for treatment and for

medicines respectively; Prescriptions of medicines,

especially of antibiotics were Instional with regard to

Y HOC THUC HANH (755) - S6 3/2011