3419份住院病历中药注射剂应用合理性分析

Analysis on Application Rationality of Traditional Chinese Medicine Injections in 3419 Inpatient Medical Records

目的:了解常熟市第一人民医院(以下简称"我院")住院患者使用中药注射剂的合理性,为促进临床规范使用中药注射剂提供参考。方法:利用医院信息系统,对我院2015年住院病历使用中药注射剂情况进行评价与分析。结果:共调查使用中药注射剂的住院病历3 419份,其中不合理用药病历747份,不合理用药率为21.85%。但对各月而言,合理用药率逐步上升,从1月的63.33%(190/300)升高至12月的90.83%(307/338)。不合理用药主要表现为联合用药不适宜、用法与用量不适宜等。结论:临床医师应加强对中医传统理论知识的学习,严格按照药品说明书规范用药;药师应加强与临床医师的沟通,加强处方审核;建立考核机制,促进处方点评与综合干预模式的长期运行,全方位促进中药注射剂的合理应用。

OBJECTIVE： To investigate the application rationality of traditional Chinese medicine（ TCM） injections in Changshou the First People＇s Hospital（ hereinafter referred to as ＂our hospital＂）,so as to provide reference for the promotion of rational application of TCM injections in clinic. METHODS： Evaluation and analysis was conducted on the application status of TCM injections in inpatient medical orders of our hospital in 2015 according to the hospital information system. RESULTS： 3 419 inpatient medical orders were investigated,of which 747 cases were irrational drug use,the irrational rate was 21. 85%. However,the irrational rate was in a increase trend from 63. 33%（ 190 /300） in Jan. to 90. 83%（ 307 /338） in Dec.. Irrational drug use were mainly performed as inappropriate drug combination and improper usage and dosage. CONCLUSIONS： The clinicians are suppose to strengthen the theory of TCM knowledge,and strictly in accordance with the instructions and standardized medication; meanwhile,the clinical pharmacists should strengthen communication with clinicians and strengthen the prescription audit; so as to establish evaluation mechanisms to promote prescription review and comprehensive intervention mode of operation,and a full range to promote the rational application of TCM injections.