儿童医院门诊输液处方不合理用药浅析

Analysis on the Irrational Use of Drugs of the Transfusion Prescriptions in the Out-patient Clinic of Children's Hospital

目的:保障患儿用药安全,促进合理用药。方法:随机抽查我院2004年12天中的门诊输液处方33001张,根据临床药理学知识及文献资料,对不合理用药处方进行分类和统计分析。结果:联合用药较多,占调查处方的60.56%;不合理用药处方共1354张,占调查处方的4.10%,多为重复用药、联合用药不当、用法不当。结论:将用药信息及时反馈给临床医师,可减少不良反应的发生。

OBJECTIVE： To ensure children＇s medication safety and to promote rational drug use. METHODS： 33 001 out- patient transfusion prescriptions of 12 days in 2004 in our hospital were randomly sampled, in which, the irrational prescriptions were classified and analyzed statistically based on clinical pharmacological knowledge and literatures. RESULT： Of the total prescriptions investigated, 60.56% of which were about the combined use of drugs; 1 354 （4.10% of the total） involved irrational drug use like repeat drug application, improper combination of drugs, and improper application. CONCLUSION： To reduce the incidence of adverse drug reactions, clinicians should be provided with timely feedbacks on medication information。