中医院不合理使用中药注射剂的因素及对策探讨

Factors and Countermeasures Discussion of Irrational Use of Traditional Chinese Medicine Injections in Chinese Medicine Hospitals

目的通过107份中药注射剂不合理用药病历,分析中医院不合理使用中药注射剂的相关因素,探寻合理用药途径。方法统计2018年医院通报处罚的163份不合理用药病历中107份使用中药注射剂的病历,从使用比例、功效分类及品次、不合理用药类型分布、处方医师的中西医类别等方面,分析不合理用药因素。结果中药注射剂说明书相对简单,对临床合理用药指导不足;中医院技术力量薄弱,处方审核信息系统不完善,药学干预不力等因素是造成不合理用药的原因。结论中药注射剂在中医院普及应用存在不合理用药现象,需要转变传统观念,加强中药注射剂相关法律法规学习,切实落实处方审核制度,强化合理用药干预措施,确保临床用药安全有效。

Objective To analyze related factors of irrational usage of traditional Chinese medicine injections in hospitals based on 107 cases medical records, explore rational drug use path. Methods Count 107 out of 163 irrational drug use medical records reported and punished by hospital in 2018. Analyze irrational drug use factors from aspects of usage proportion, effect classification and grade, distribution of irrational drug use types and prescription physicians categories. Results Instructions of traditional Chinese medicine injection are relatively simple, and guidance for clinical rational drug usage is insufficient. Reasons of irrational drug usage include weak technical strength of traditional Chinese medicine hospital, imperfect information system for prescription review, and inadequate pharmaceutical intervention. Conclusion There are irrational drug use phenomena in promotion and application of traditional Chinese medicine injections in Chinese hospitals. It is necessary to change traditional concepts, strengthen study of related rules and regulations of traditional Chinese medicine injections, implement prescription audit system effectively, strengthen intervention measures of rational drug use, and ensure safety and effectiveness of clinical medicine.