西药临床合理用药的安全性及应对策略分析

Analysis of the Safety and Coping Strategies of Rational Drug Use in Western Medicine

目的分析西药临床用药安全性,探讨相关应对策略。方法根据乱数表法,选取2016年1月—2017年3月本院实施临床合理用药措施前后123份处方,总结不合理用药主要因素及其应对策略。结果经临床合理用药措施实施前,主要问题表现为用药缺乏合理性;重复性用药;联合用药不科学;抗生素滥用;经临床合理用药措施实施后,实验组患者合理用药率达88.7%,对照组则为42.6%,差异具有统计学意义(P<0.05)。结论临床西药用药中应规范西药管理、加强西药用法用量认识、提高联合用药科学性、提高药物管理人员专业素质,由此降低用药风险。

Objective To analyze the safety of drug use in western medicine and to explore the relevant coping strategies. Methods According to the random number table method, 123 prescriptions from January 2016 to March 2017 in our hospital before and after had the implementation of clinical medication measures, to summarize the main factors of irrational use of drugs and its coping strategies. Results After the implementation of clinical medication before the main problem is the lack of reasonable medication; repeated drug use; drug combination is not scientific; overuse of antibiotics; After the implementation of clinical rational drug use, the rate of rational drug use in the experimental group was 88.7%, and the control group was 42.6%. The difference was statistically significant（P 〈 0.05）. Conclusion The management of western medicine should be standardized, the usage and dosage of Western medicine should be strengthened, and the scientific nature of the combined drug use should be improved and the professional quality of the drug managers should be improved. This reduces the risk of drug use.