我院儿童抗感冒复方制剂说明书及不合理用药处方分析

Analysis of Drug Instruction and Irrational Prescription of Anti-cold Compound Preparations for Children in Our Hospital

目的:了解儿童抗感冒复方制剂现状,为临床合理用药提供参考。方法:收集我院使用的儿童抗感冒复方制剂说明书,对其组分、规格、剂型、用量等进行统计;同时列举2015年6-12月典型的不合理用药处方进行分析。结果与结论:我院共有40种儿童抗感冒药在用,包括14种化学药和26种中成药,其中15种药品说明书中未标明儿童用量,占37.5%。抗感冒复方制剂种类多,规格、用量差异大,相同年龄/体质量儿童按照说明书服用不同药品,同一组分含量相差较大,表明说明书中儿童用法用量需进一步完善。我院尚存在重复用药、配伍禁忌、用量不适宜等不合理用药现象。

OBJECTIVE： To explore the situation of anti-cold compound preparations for children, and provide reference for clinical rational drug use. METHODS： The drug instructions of anti-cold compound preparations for children were collected from our hospital and analyzed statistically in recpects of drug components, specifications, formulations and dosages of those preparations; typical irrational prescriptions from Jan. to May 2015 were also analyzed. RESULTS ＆ CONCLUSIONS： 40 kinds of anti-cold compound preparations for children were currently used in our hospital, including 14 chemical drugs and 26 Chinese medicine, in which, 15 were not specified in the drug instructions for pediatric dosage （accounting for 37.5% ）. Anti-cold compound preparations had many kinds, varied largely in specifications and dosages. The children with same constitution and age take different drugs according to the drug instructions, the dosages of the same component are greatly different, the child dosages in the drug instructions need to be further improved. There are problems of irrational drug use in our hospital, such as repeated medication, medicine incompatibility, in appropriate dose.