某院门诊中成药3600张处方应用分析

Application Analysis of 3600 Prescriptions of Chinese Patent Medicine in the Outpatient Department

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.