中药注射剂临床医嘱点评合理用药情况分析研究

Analysis and Research on Clinical Order Comments of Rational Use of Traditional Chinese Medicine Injection

目的分析中药注射剂临床医嘱点评合理用药情况。方法抽取2018年1月至2018年12月中我院接受中药注射剂治疗的病例240例进行研究,对病例资料进行回顾性分析,医嘱点评合理用药情况,为临床中药注射液的合理使用提供参考信息。结果240例使用中药注射液治疗的病例不合理用药率为62.92%,不合理使用的中药注射剂种类居前位的为注射用红花黄色素、注射用丹参多酚酸盐、丹参川芎嗪注射液、血必净注射液。结论定期进行中药注射剂临床医嘱点评,能够及时发现用药不合理情况,且能准确判断不合理用药的原因,实施针对性的干预,有助于提升临床中药注射液的合理利用率,保证用药安全性。

Objective to analyze clinical order comments of rational use of traditional Chinese medicine injection.Methods choose 240 cases traditional Chinese medicine injection in our hospital from January 2018 to December 2018 for study,review and analyze case data,comment order of doctors on rational use of traditional Chinese medicine injection,to provide reference information for rational use of traditional Chinese medicine injection in clinical practice.Results irrational use rate of traditional Chinese medicine among 240 cases was 62.92%,the most unreasonable Chinese medicine injections include safflower yellow injection,salvia miltiorrhiza polyphenolate injection,salvia miltiorrhiza ligustrazine injection and Xuebijing injection.Conclusion regular clinical order comments of traditional Chinese medicine injection can find out unreasonable drug use situation in time,judge unreasonable reason accurately,and implement targeted intervention,which is helpful to improve reasonable rate of traditional Chinese medicine injection use and ensure safety of drug use.