中药饮片处方中存在的不合理情况分析

An analysis of unreasonable situation in TCM prescription

目的:调查分析中药饮片处方中存在的不合理情况,以促进临床合理用药。方法:随机抽取我院2012年6月-2013年6月间的中药饮片处方1320张,依照2010年版《中国药典》、《中药处方格式及书写规范》及《医院处方点评管理规范(试行)》通知中相关要求对处方中的用药情况进行统计分析,寻找不合理现象。结果:1320张中药饮片处方中124张存在不合理现象,不合理现象出现率9.39%,其中有86张处方中存在2种或2种以上不合理现象。不合理现象主要包括临床诊断不规范、用药的味数偏多、用药的剂量偏大、毒性中药饮片使用不合理、煎服方法错误。结论:中药饮片处方中存在着一定的不合理现象,应加强管理,促进处方的规范化,从而保证临床用药的合理有效。

Objective： To improve reasonable medication through analyzing and investigating unreasonable situation in TCM prescription. Methods： 1320 pieces of TCM prescription in our hospital were selected to find the unreasonable situation. Results： The frequency of unreasonable situation was 9.39%, two kinds of unreasonable situation or more in 86 pieces exist, which include non-standardized, large and more dose of medication, unreasonable medication of TCM medicine. Conclusion： It is necessary to strengthen management and improve the prescription standardization to promise reasonable clinical medication.