慢性咳嗽小儿药物治疗规范化管理的作用

摘要

Objective To discuss the application of standardized drug management for infants with chronic cough. Methods 150 infants with chronic cough were selected as the study group given standardized drug manage-ment, and another 150 infants with chronic cough didn’t receive standardized drug management as the control group. The cause distribution of chronic cough, the medicine types and using amount for the first time, the average cost of medicine, the average treatment time, and patient’ s satisfaction degree were mainly evaluated. Results The results showed that different age had different causes of cough. There were 61 cases of children with specific cough and 239 cases of children with non-specific cough, each accounted for 20. 33% and 79. 67% ( P <0. 01 ) . The medicine types for the first time, the average cost of medicine and the average treatment time were better in the study group than in the control group (P<0. 01). The total satisfaction degree of the study group was 96%, and 84. 67% in the control group ( P<0. 01 ) . Conclusion According to the observation results, the implementation of standardized drug management can effectively reduce the amount of drug use and improve overall treatment satisfaction degree for infants with chronic cough, meanwhile it can reduce the cost of treatment.%目的：探讨门诊慢性咳嗽小儿药物治疗规范化管理的作用。方法未实施门诊药物治疗规范化管理时为对照组,实施后为观察组,两组各抽取150例进行相关比较,主要对慢性咳嗽患儿的病因分布、首次用药种类及用量比较、平均用药费用、平均治疗时间、患者满意度等进行调查及评价。结果我们对患儿的病因分布进行了相关总结,结果显示,不同年龄段患儿咳嗽病因各有不同；此次观察对象中,特异性咳嗽患儿61例,非特异性咳嗽患儿239例,各自所占比例为20．33%与79．67%,P<0．01；分别对两组首次用药种类、平均用药费用、平均治疗时间作出统计与分析,明显看出,规范化管理实施后其各指标显著优于实施前,P<0．01；观察组总体满意度为96%,对照组总体满意度为84．67%,P<0．01。结论根据此次观察结果可以看出,实施门诊慢性咳嗽小儿药物治疗规范化管理可有效减少药物使用量,提高总体治疗满意度,同时减轻患儿治疗负担,临床推广意义重大。