某口腔专科医院局部麻醉药门诊处方点评分析

Evaluation Outpatient Prescriptions of Local Anesthetics in Stomatological Hospital

目的对某院门诊局麻药的使用情况进行处方点评分析,促进该类药物在临床的合理使用。方法抽取某院2019年全年门诊局麻药处方113590张,根据《处方管理办法》、《医院处方点评管理规范(试行)》、药品说明书、相关指南及专家共识对局麻药处方进行专项点评,分析其用药情况及不合理使用的原因。结果局麻药不合理处方1811张,占比1.59%;不合理处方主要为用药不规范、遴选药品不适宜、用法用量不适宜和有配伍禁忌或不良相互作用等。结论医院局麻药临床使用基本合理,但仍存在一些问题,应持续加强管理,不断提高合理用药水平,保证患者用药安全。

Objective To evaluate the prescriptions of local anesthetics in a stomatological hospital,and promote the rational use of the drug.Methods A total of 113590 prescriptions of local anesthetics from the outpatient department of a hospital in 2019 were selected.According to the Prescription Administrative Policy and Management Practices of Hospital Prescription Comment(on trial),drug instructions,relevant guidelines and expert consensus,special comments were made on local anesthetics,while the way these drugs were used and causes of irrational use were analyzed.Results There were 1811 imperfect prescriptions of local anesthetics,accounting for 1.59%and involving sub-standard medication,inappropriate selection of drugs,inappropriate usage and dosage,incompatibility or adverse interactions.Conclusion The clinical use of local anesthetics in this hospital is basically proper,but there are still some problems.We should continue to strengthen the management,constantly improve the level of rational drug use,and ensure the safety of drug use for patients.