6157张门诊处方用药分析

The Analysis of Drug Use in 6157 Outpatient Prescriptions

目的:分析门诊处方书写质量和不合理用药情况,以提高我院处方书写质量,促进合理用药。方法:抽查2011年1-12月我院门诊处方6157张(不包括麻醉药品和精神药品处方),依据《处方管理办法》、药品说明书及《中华人民共和国药典·临床用药须知》、《新编药物学》,对处方进行统计和分析。结果:不合理处方共679张,其中处方前记132张(2.14%),处方正文504张(8.19%),处方后记43张(0.70%)。处方前记和后记表现在书写不合格,处方正文不合理主要表现在选药不当、联用不当、重复用药、配伍不当、用法用量、给药时间及抗菌药物使用不合理等。结论:我院的门诊处方还存在许多书写质量和不合理用药的情况。药师应加强处方审核,及时发现和纠正不合理用药,确保患者用药安全、有效、经济。

Objective： To improve the writing quality of prescriptions and promote clinical rational drug use by es- timating the writing quality of outpatient prescriptions in our hospital and analyzing the irrational drug use. Methods： 6 157 outpatient prescriptions （excluding the prescriptions of narcotic and psychotropic drugs） from Jan. to Dec. of 2011 in our hospital were sampled and analyzed according to Management of Prescription, instructions of medicines, Instructions of Clinical Medication of the Chinese Pharmacopoeia and New Pharmacology. Results： Among 6 157 out- patient prescriptions, 679 were found irrationally written, including 132 （2.14%）prescriptions with wrong preface, 504 （8.19%）with irrational main body, and 43 （0.70%）with incompetent postscript. The writings in the preface and postscript of these prescriptions were unqualified and the main problems presented in the text including incorrect selec- tion of medicines, unreasonable combination, repetitive medication, incompatibility of medicines, wrong usage or dosage, improper time of drug use and irrational use of antibacterial agents. Conclusion： Problems still existed in the writing quality of outpatient prescriptions and in rational drug use in our hospital. Pharmacists should strengthen the prescription checks, find and correct the irrational drug use in time so as to ensure the safe, effective and economic drug-use in patients.