基层医院中药注射剂的不合理用药调查分析

An analysis of unreasonable use in TCM injections in primary hospital

目的：调查基层医院中药注射剂（traditional Chinese medicine injection，CMI）不合理用药情况。方法：选择在本院使用CMI治疗的患者500例。笔者根据实际情况自行设计调查表，通过相应患者处方来调查分析。结果：500份调查表基本情况，经调查统计存在用药不合理处方有338份，占调查问卷总数的67．60％。CMI不合理用药处方存在超适应症用药、重复用药、配伍不当、超剂量用药、禁忌症用药、溶媒的选择不正确等情况。结论：基层医院临床药学人员要及时搜集有关的研究资料，以掌握CMI临床用药动态，强化医务人员中医辨证用药意识，通过各种形式与临床医务人员加强联系和沟通，使CMI在临床用药时兼顾药物的安全性、有效性、经济性，真正做到为患者服务。

Objective： To survey the situation on the unreasonable use medicine of traditional Chinese medicine injection in primary hospital. Method： Choose on treat 500 patients by CMI in our hospital. Analysis of the prescription of patient. Result： The basic situation of 500 questionnaires, there is 338 irrational prescription drugs after the survey statistics, accounted for 67.60% of total questionnaire. Conclusion： Clinical pharmacy primary hospital staff must be collect research data in a timely manner, grasp the dynamic of CMI clinical medicine, strengthen the drug awareness of Drug awareness medical staff.