天津市医院门、急诊中药注射剂输液处方合理性分析

Analysis on Reasonability of TCM Injections Infusion Prescription in Outpatient and Emergency Department of Hospitals in Tianjin

目的:了解天津市医院门、急诊中药注射剂输液用药的安全性与合理性的整体情况。方法:选取天津市多家二、三级医疗机构,随机抽取门、急诊输液处方,选择应用中药注射剂静脉滴注给药处方,记录患者及处方的基本情况,对处方药品的用法用量、配伍情况、给药途径等分别进行合理性评价。原始数据采用Excel进行分类、汇总、筛选,统计数据采用SPSS11.0软件计算。结果:本研究共涉及各类医疗机构11个,抽取4d中药注射剂输液处方共计2309张。给药剂量和给药间隔时间合理的处方分别占66.91%和80.60%。不合理处方主要表现为药物的安全配伍比例较低,仅为58.64%。结论:天津市医院门、急诊中药注射剂输液处方基本合理,但仍存在输液药品间的配伍不合理现象。

OBJECTIVE： To probe into the safety and reasonability of TCM injection infusion prescription in outpatient and emergency department of hospitals in Tianjin.METHODS： Infusion prescriptions were randomly collected from outpatient and emergency department of secondary and three-tier hospitals in Tianjin.Reasonability of TCM injection intravenous infusion prescriptions were analyzed in respect of dosage and usage,compatibility and administration route.General information of patients and prescription were recorded.Primary data were classified,summarized and screened using EXCEL and the statistic data were calculated using SPSS11.0 software.RESULTS： 11 medical institutions were included and 2 309 TCM injection infusion prescriptions were collected within 4 days.Dosage and dosing interval of reasonable prescription accounted for 66.91% and 80.60% respectively.The safety compatibility proportion of prescriptions was only 58.64%.CONCLUSION： TCM injection infusion prescriptions in outpatient and emergency department of hospitals in Tianjin are reasonable while there is still some unreasonable compatibility of injection.