药物不合理使用情况分析与提高患者预后相关讨论

Discussion on Unreasonable Drug Use and Improvement of Prognosis

目的:分析门诊、急诊中药组成药品使用情况并对日后用药提出指导性建议。方法:通过随机时段抽取门诊、急诊含中药成分药品处方16 098份进行分析,时段选择为2011年3月至2013年1月,于两个月后给予干预,其中包括药品归类、专业分析、治疗干预及院外指导,干预时间12个月,入选含中药成分药品处方18 900张。结果:分析表明临床诊断不规范,适应证不适宜,剂量或给药方法不适宜作为门诊、急诊中药组成药品使用最集中问题;通过阶段性干预后入选处方中不合理用药情况明显好转。结论:临床治疗中结合中药组成药品对提高患者预后具有重要意义,临床医生应对药品具有一定的认知度最终提高药品的有效使用率。

Objective： To analyze drug usage of traditional Chinese medicine in emergency and outpatient department and to put forward guidance for drug use in the future. Methods： Altogether 18 900 copies of prescriptions containing ingredients of Chinese medicine in outpatient service and emergency departments made from March 2011 to January 2013 were randomly selected and analyzed. One year interventions were given two month later,including drug category,professional analysis and treatment outside hospital guidance. Results： Analysis showed that the most focus problems of emergency and outpatient departments were not standard clinical diagnosis,not appropriate indications,and not suitable dose or dosing method. Through the afterwards intervention,the irrational drug use situation were improved markedly. Conclusion： Combining traditional Chinese medicine and patent medicine in clinical treatment is of great significance to improve the prognosis of patients. Doctors shall have a certain awareness of theses kinds of medicines so as to eventually improve the effective utilization of the drugs.