360份住院患者病历用药合理性分析

Analysis of Rationality of Drug Use in 360 Medical Records of Inpatients

目的:了解昆山市中医医院(以下简称"我院")住院患者用药情况,促进临床合理用药。方法:采用回顾性分析方法,随机抽取我院2014年1—6月住院患者病历360份,对用药合理性进行分析。结果:360份住院患者病历中,用药合理266份(占73.89%),用药不合理94份(占26.11%),主要存在药物选择、用法与用量、联合用药、溶剂选择不合理及抗菌药物使用不规范等情况。结论:我院住院患者病历尚存在诸多不合理用药情况,需进一步加强合理用药意识,充分发挥药师的作用,促进临床合理用药。

OBJECTIVE： To investigate the drug use situation of inpatients in Traditional Chinese Medicine Hospital of Kunshan（ hereinafter referred to as＂our hospital＂）,and to provide reference for the rational drug use in clinic. METHODS：By retrospective analysis,360 medical records of inpatients from Jan. to Jun. 2014 in our hospital were randomly selected to analyze the rationality of drug use. RESULTS： Of the 360 medical records,there were 266 cases（ 73. 89%） of prescriptions with rational drug use,94 cases（ 26. 11%） with irrational drug use; the phenomenon of irrational drug use mainly manifested as irrational selection of drugs,irrational dosage and usage,irrational drug combination,irrational choice of solvents and non-standard use of antibiotics etc. CONCLUSIONS： There are many irrational drug use problems in the medical records of inpatients in our hospital. It is necessary to further strengthen the consciousness of rational drug use and bring the role of pharmacists into full play,so as to promote the rational drug use in clinic.