2017年门诊中成药不合理处方的帕累托图分析

Analysis of irrational prescriptions of Chinese patent medicines in outpatient department in 2017 by Pareto diagram

目的采用帕累托图法分析2017年门诊中成药房不合理处方,为促进中成药的合理应用提供参考。方法收集2017年1～12月中成药房调剂的处方以及处方干预记录本中登记的不合理处方。分析其科室分布并采用帕累托图分析不合理处方的主要类别。结果共有处方496 131例,其中不合理处方27 280例,占5.5%。中医科、心血管内科及呼吸内科的中成药不合理处方所占比例最高,分别为22.0%、16.0%及15.0%。药物遴选不符合辨证施治原则,超适应证用药,用法、用量不适宜,三种类别的不合理处方是产生不合理处方的主要因素。结论根据不合理处方的类别以及科室分布,加强医师和药师之间的沟通,促进中成药的合理应用。

Objective To analyze irrational prescriptions of Chinese patent medicines in outpatient department in order to promote the reference of rational use of Chinese patent medicines. Methods The lChinese patent medicines prescriptions and irrational prescriptions were collected in department of pharmacy of our hospital from January 2017 to December 2017.The distribution of departments was analyzed, and the main categories of irrational prescriptions were canalyzed by using Pareto diagram. Results There were total 496131 prescriptions, in which, 27280 were irrational prescriptions, accounting for 5.5%.Irrational prescriptions were mainly distributed in department of traditional Chinese medicine, cardiovascular medicine and respiratory medicine, which were 22%, 16% and 15%, respectively.The main factors to result in irrational prescriptions were that the drug selection did not conform to the principle of syndrome differentiation;over adaptation drug use and the usage and dosage were not suitable. Conclusion According to the types of irrational prescriptions and the distribution of departments, it is necessary to strengthen communication between doctors and pharmacists,so as to promote the rational application of proprietary Chinese medicines.