Résumé
Objective To study the impact of essential medicine system on rational drug use in Community Health Care Center of Chun′an District .Methods Essential drug system in Community Health Care Center of Chun′an District in Zhejiang Province was taken as the intervention group ,and before implementation was taken as contrast group ,the essential medicin system was analyzed whether it was or not to promote the rational use of drugs by prescription surveys .Results Average num-ber of drugs per encounter was lower from 2 .68 to 2 .23(P< 0 .05) ,average expenditure per encounter was lower from 42 .11 yuan to 37 .75 yuan(P<0 .05) ,the use of essential medicines was riser from 79 .90% to 89 .81% (P<0 .05) ,the three in-dexes had significant difference ,the percentage of injections per encounter was lower from 37 .87% to 28 .50% (P>0 .05) ,the percentage of antibiotics per encounter was lower from 36 .52% to 24 .46% (P> 0 .05) ,the two indexes had no significant difference .Conclusion After execution of essential medicine system in Community Health Care Center of Chun′an District ,av-erage number of drugs and average expenditure per encounter were lower and the use of essential medicines was riser ,but the percentage of antibiotics and percentage of injections were not been improved ,belonged to irrational category ,although there had essential medicines manual ,but effective promoting measures still was deficient .
Résumé
Objective To observe the efficacy of western medicine in combination with traditional Chinese medicine for treating diabetic nephropathy.Methods 45 diabetic nephropathy patients were randomly divided into two groups:treatment group and control group.Atorvastatin 20mg/d and irbesartan 150mg/d were taken orally in control group and plus Chinese herbal medicine were taken orally in treatment group.Both of the two groups had been observed for 3 months.Results Comparing with pre-reatment,serum creatinine(Scr)and urinary albumin excretion rate(UAER)were decreased after treatment in two groups(P