目的 調(diào)查分析福州總醫(yī)院兒科門(mén)診霧化藥的應(yīng)用情況，為其臨床合理應(yīng)用提供參考。方法 提取2018年1～4月兒科門(mén)診霧化藥物的應(yīng)用數(shù)量；并調(diào)閱2018年1～4月兒科門(mén)診應(yīng)用霧化藥物的處方總共1 267張，對(duì)患兒年齡，霧化藥的聯(lián)合情況、醫(yī)師診斷及其合理性等進(jìn)行統(tǒng)計(jì)分析。結(jié)果 兒科門(mén)診常用霧化藥物有糖皮質(zhì)激素、短效β2受體激動(dòng)劑、黏液溶解劑、M膽堿受體阻斷劑和抗病毒藥物，其中糖皮質(zhì)激素、短效β2受體激動(dòng)劑應(yīng)用數(shù)量遠(yuǎn)大于其他霧化藥；1 267張?zhí)幏街徐F化藥種類(lèi)單獨(dú)應(yīng)用占28.49%，聯(lián)合應(yīng)用占71.51%；應(yīng)用于多種呼吸道感染、支氣管炎、肺炎、哮喘、扁桃體炎、咳嗽等多達(dá)30類(lèi)臨床診斷。不合理處方占全部處方的52.96%，主要為不明確處方，占38.67%。結(jié)論 福州總醫(yī)院兒科門(mén)診霧化藥的應(yīng)用存在一定的不合理情況，醫(yī)院和兒科醫(yī)生應(yīng)該給予足夠的重視，以確保臨床用藥的合理性。

Objective To investigate and analyze the application of atomized drugs in Pediatric Clinic of Fuzhou General Hospital in 2018, so as to provide references for their rational use in clinic. Methods The applied amount of atomized drugs used in Pediatric Clinic from January to April in 2018 was extracted, and 1 267 outpatient prescriptions were selected from Pediatric Clinic from January to April in 2018. Age, combination of atomized drugs, clinical diagnosis, and rationality were analyzed statistically. Results The commonly used atomized drugs in Pediatric Clinic were glucocorticoids, short-acting β2 receptor agonists, mucous dissolving agent, M cholinergic blockers, and antiviral drugs, and the using number of glucocorticoids and short-acting β2 receptor agonists were much greater than other atomized drugs. Among the 1 267 prescriptions reviewed, 28.49% was applied alone and 71.51% was applied with joint. These atomized drugs which were applied to treat 30 kinds of diseases including various types of respiratory infections, bronchitis, pneumonia, asthma, tonsillitis, and cough, etc. Unreasonable prescription accounted for 52.96%, and most of them were mainly was indefinite prescription (38.67%).Conclusion There is some unreasonable drug use of atomized drugs in Pediatric Clinic of Fuzhou General Hospital. Hospitals and pediatricians should give enough attention and make improvements to ensure the rationality of clinical medication.