住院患者合理用药情况调查与分析

Investigation and analysis of rational drug use in hospitalized patients

目的了解本院住院患者合理用药情况,为临床规范合理用药提供参考。方法随机抽查2015年1~12月本院住院患者出院病历每月150份,共计1800份,审查医嘱用药的合理性,登记不合理用药情况,进行统计分析。结果其中96份病历发现110处用药不合理,不合理用药主要表现为:用药指征不明确(20.91%)、用法用量不适宜(20.00%)、药物遴选不当(17.27%)、药物不良相互作用(12.73%)、溶媒选择不适宜(9.09%)、禁忌症用药(6.36%)等。结论本院住院患者用药仍存在一些不合理用药现象,有待加强临床用药管理,促进临床合理用药。

Objective To understand the rational drug use in hospitalized patients of our hospital,and.to provide reference for rational use of drugs in clinical practice. Methods Discharge records of inpatients in our hospital from January 2015 to December 2015 were randomly sampled with 150 copies a month,a total of 1800 copies.Rational use of prescription medication,irrational use of drugs were examined and statistically analyzed. Results 96 of these cases found that the use of 110 drugs unreasonable.Irrational drug use were mainly manifested as：indication of medication is not clear（20.91%）,dosage is not snitable（20%）,improper drug selection（17.27%）,adverse drug interactions（12.73%）,choice of solvent not suitable （9;09%）,contraindications （6.36%）,etc. Conclusion There are still some irrational use of drugs in the inpatients of our hospital,which need to strengthen the management of clinical medication and promote the rational use of drugs in clinic.