暨南大学附属第一医院门诊中药处方调查与分析

Investigation and analysis of the First Affdiated Hospital of Jinan University outpatient TCM prescription

目的对暨南大学附属第一医院门诊中药饮片处方进行调查，分析存在不合理问题，以规范临床用药。方法随机抽取该院门诊中药饮片处方900张，根据《处方管理办法》和《中药处方格式书写规范》对其进行分析点评。结果900张处方中患者平均年龄为45岁，男女比例为1：1．78，平均每张处方用药11．8味，不规范处方有410张，占处方总数的45．50％，其中未标明用法占15．77％，脚注未写或书写错误占24．00％，毒性中药超剂量使用占5．33％。结论该院应加强中医师的《处方管理办法》和《中药处方格式书写规范》的培训，以规范中药处方，提升中药师的综合素质，提高中药处方的合格率，以促进中药合理使用。

Objective To investigate the Chinese traditional medicine prescription in our hospital, analyze the unreasonable problems, thus to guide clinical drug use. Methods Randomly selected from 900 prescription, according to the ＂prescription management method＂ and ＂Chinese medicine prescription format specification＂ to ana- lyze the prescription. Results 900 patients in the prescription with an average age of 45 years old, the male to female ratio of 1 ： 1.78. Average 11.8 per prescription medication, there were 410 non - standard prescriptions ,45.50% of the total number of prescription,and more than 15.77% did not indicate the usage. Footnote not write or write error accounted for 24.00%, toxicity of traditional Chinese medicine using overdosage accounted for 5.33%. Conclusion Our hospital should strengthen TCM doctor ＂ prescription management method＂ and ＂ standard of Chinese traditional medicine prescription format＂ training, to regulate traditional Chinese medicine prescriptions, promoting the compre- hensive qualities of herbalists, improve the qualified rate of prescription of traditional Chinese medicine, in order to promote reasonable use of TCM.