张家口市第一医院2016年门诊中药饮片处方分析

Analysis on Prescriptions of TCM Decoction Pieces in First Hospital in Zhangjiakou City in 2016

目的通过对张家口市第一医院(以下简称"本院")门诊中药饮片处方进行调查与分析,了解其使用情况及存在的问题,为中药师审方及临床合理用药提供参考。方法用Excel2007统计本院2016年1054张门诊中药饮片处方,对患者性别、年龄、处方用药味数、每剂药量、处方剂数、费用及处方中不合理情况进行调查和分析。结果处方以16～20味居多,每剂药量集中在100 g以下,平均处方剂数为5.46剂,每剂平均32.99元;不合理处方共502张(47.63%),中药饮片处方中存在超剂量用药、处方脚注不规范、处方诊断书写不规范、处方使用错误、处方未能体现"君、臣、佐、使"的特点、处方缺签章或签章不规范、重复用药、配伍禁忌等问题。结论本院门诊中药饮片处方存在不合理现象,应采取有效措施,逐步改进,促进临床合理用药。

Objective To understand the use and existing problems of prescriptions of TCM decoction pieces in First Hospital in Zhangjiakou City （hereinafter referred to as “our hospital”） through investigation and analysis of the prescriptions of TCM decoction pieces in our hospital; To provide references for TCM pharmacist trial and clinical rational medication. Methods Excel2007 was used to calculate the 1054 prescriptions of TCM decoction pieces of outpatient in our hospital in 2016. Gender, age, numbers of Chinese materia medica in prescriptions, medication dosage amount, medication number, cost, and unreasonable prescriptions were investigated and analyzed. Results The numbers of Chinese materia medica in prescriptions were mainly 16-20; medication dosage amounts were under 100 g; average medication number was 5.46; average cost was 32.99 yuan; unreasonable prescriptions were 502 （47.63%）. There were problems such as overdose medications, irregular footnotes, irregular prescription writing, incorrect prescriptions, failure to demonstrate the characteristics of “Jun, Chen, Zuo, and Shi”, lack of signature or not standardized signature, repeated medication, and incompatibility. Conclusion Some prescriptions of TCM decoction pieces in our hospital are unreasonable, and effective measures should be taken to gradually improve and promote clinical rational medication.