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某院门诊中成药3600张处方应用分析 被引量:12

Application Analysis of 3600 Prescriptions of Chinese Patent Medicine in the Outpatient Department
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摘要 目的:了解我院门诊中成药处方的不合理用药情况,找出存在不合理问题的原因,制定对策,促进我院中成药在临床上的合理应用。方法:抽取我院2018年1~12月门诊中成药处方样本3600张,每月抽取300张,对3600张处方进行点评、归类、统计、分析。结果:3600张处方样本中,中医科中成药处方量排名第7位,排名居前的分别为:儿科、妇科、心内科、耳鼻喉科、神经内科;不合理处方数568张,占总处方的比例15.78%。结论:我院门诊中成药处方存在无临床诊断、重复用药、用法用量不适宜、超说明书用药等问题。中药师应不断提高专业素质,定期对中成药处方进行点评,建立绩效考核机制;并对西医师进行系统的中医药知识培训,提高临床医师的中医理论水平,使中成药更好地服务于临床。 Objective:To analyze the unreasonable prescriptions of Chinese patent medicine in the outpatient department,identify the causes and formulate countermeasures to promote rational clinical application.Methods:A total of 3600 prescriptions of Chinese patent medicine were collected from the outpatient department in 2018,with 300 prescriptions in each month.All prescriptions were carefully reviewed,classified,calculated and analyzed.Results:Considering the number of Chinese patent medicine prescriptions ordered,the department of traditional Chinese medicine was the seventh,following the departments of paediatrics,gynaecology,cardiology,otorhinolaryngology and neurology.The number of unreasonable prescriptions is 568,which counts 15.78%of the total 3600 prescriptions.Conclusion:Problems in the prescription of Chinese patent medicine in the outpatient department include prescription without clinical diagnosis,repeated medication,inappropriate dosage,off-label medication and so on.Traditional Chinese medicine pharmacists should constantly improve their professional quality,regularly evaluate the prescriptions of Chinese patent medicines,establish a performance evaluation mechanism,and provide systematical training for doctors with western medicine background to improve their theoretical knowlege of traditional Chinese medicine,thus to improve the clinical application of Chinese patent medicine.
作者 樊锐敏 FAN Rui-min(Pharmaceutical Department,the First People's Hospital of Pingdingshan City,Henan Province,Pingdingshan 467099,China)
出处 《中国合理用药探索》 CAS 2020年第4期32-35,共4页 Chinese Journal of Rational Drug Use
关键词 中成药 不合理处方 中药师 合理用药 Chinese patent medicine unreasonable prescription Chinese herbalist rational use of drugs
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