2013年我院门急诊中成药不合理用药处方分析

Prescription Analysis of Irrational Use of Chinese Patent Medicine in Outpatient and Emergency Departments in 2013

目的:了解我院门急诊中成药用药情况,促进临床合理用药。方法 :采用回顾性调查方法,对我院2013年1-12月每月200张门急诊处方用药情况进行汇总,对不合理用药处方进行归纳分析。结果:不合格处方占总处方的5.41%,其中不规范处方占52.31%,用药不适宜处方占40.77%,超常处方占6.92%;主要表现为联合、重复、遴选药物不适宜及无适应证用药等。结论:通过处方点评查找存在的不合理用药现象,医务部门针对不合理情况进行干预,临床药师参与日常临床用药指导,以促进我院中成药临床合理应用。

Objective： To investigate the use of Chinese patent medicine in outpatient and emergency departments of our hospital so as to promote the rational medication in clinical practice. Methods： A retrospective investigation was conducted based on the collection and analysis of 200 prescriptions per month in 2013 from the outpatient and emergency departments of our hospital, and the prescriptions of irrational drug use were summarized and analyzed. Results： The unqualified prescriptions accounted for 5.41% of totally collected prescriptions including the nonstandardized prescriptions （ 52.31% ）, inappropriate medication （40.77 % ） and extraordinary prescriptions （ 6.92 % ）. The main problems were reflected in the inappropriate combination of drug use, irrational reuse or selection of drugs, and medication without indications,etc. Conclusion： The rational application of Chinese patent medicines in our hospital was promoted through making comments on the prescriptions of irrational medication, intervention by medical department and providing guidance of daily clinical medication by clinical pharmacist.