摘要
目的:探讨和总结中药处方点评的工作方法,促进中药饮片的合理使用。方法:在我院《中药饮片处方点评制度》的指导下,借助临床合理用药智能管理系统,结合Excel软件,逐月对我院2018年全年门诊中药饮片处方进行点评。查阅相关规定和中药临床药学文献资料,结合我院实际情况,对中药饮片处方不合理使用情况进行分类、分析并干预。结果:我院2018年门诊中药处方合理率为90.12%,不合理处方主要集中于不规范处方和用药不适宜处方。通过该方式点评及干预后,中药处方合理率提升较为明显。结论:借助临床合理用药智能管理系统指导下的中药饮片处方点评对促进合理用药具有积极意义。但是,中药饮片处方点评工作存在难度大、细节多的情况,并且各院的中药处方有各自的特色,应采取制定、落实及完善中药处方点评细则,持续改进中药处方的信息化建设等措施,进一步规范和完善中药处方点评模式。
Objective:To explore and summarize the prescription review methods of Chinese herbal pieces and promote the rational use of traditional Chinese medicine.Methods:According to the Guidance of the Regulations on the Evaluation System of Traditional Chinese Medicine Prescriptions in our hospital,the prescriptions of Chinese herbal pieces in the outpatient department of our hospital were checked every month in 2018,using the intelligent clinical rational drug management system and Excel software.Unreasonable prescriptions were classified,analyzed and intervened by consulting the relevant regulations,the literature of traditional Chinese medicine and the real situation of our hospital.Results:The rational rate of outpatient Chinese medicine prescriptions in 2018 was 90.12%.Irrational prescriptions were mainly considered irregular or inappropriate.After the methods of review and intervention,the rational rate of traditional Chinese medicine prescriptions increased significantly.Conclusion:This methods of review and intervention is of positive significance for promoting the rational use of drugs.However,there are many difficulties and details in prescription review on Chinese herbal pieces.Besides,each hospital has its characteristics on prescription review.Measures should be adopted to provide a reference for regulating prescription review of Chinese herbal pieces,such as formulating,implementing and improving the detailed rules,and continuously improving the information construction for the evaluation of traditional Chinese medicine prescriptions.
作者
季旎瑰
陈勇
顾皛星
陶霞
JI Ni-gui;CHEN Yong;GU Xiao-xing;TAO Xia(Department of Pharmacy,Shanghai Changzheng Hospital,Shanghai 200003,China)
出处
《中国合理用药探索》
CAS
2020年第4期27-31,共5页
Chinese Journal of Rational Drug Use
基金
上海市卫生计生系统重要薄弱学科建设项目(2016ZB0303)
上海市临床药学重点专科建设项目(2016-40044-002)。
关键词
中药
中药饮片
处方点评
处方合理率
智能管理系统
traditional Chinese medicine
Chinese herbal pieces
prescription comments
reasonable rate of prescriptions
intelligent clinical rational drug management system