某院门急诊抗感冒药物的处方点评分析

Analysis of Comments on Prescription of Anti-Cold Drugs in Outpatient and Emergency Departments of a Hospital

目的:分析医院门急诊抗感冒药物的处方点评结果,为抗感冒药物的规范合理使用提供参考。方法:按每季度各50张的标准,随机抽取2018年1月—2019年12月江苏盛泽医院门急诊的抗感冒药物处方800张,依据相关指南规范进行处方点评,分析处方的用药类别,以及不合理处方的科室分布和原因类型。结果:800张抗感冒药物处方中涉及的药物类型主要为口服的解热镇痛药(436张)、中成药(405张)、复方抗感染药制剂(370张)和抗菌药物(367张),但使用注射剂的也有218张;800张处方中共出现不合理处方36张,主要来自呼吸内科门诊(16张)、急诊内科(9张)和急诊儿科(5张),主要的不合理原因类型为用法用量不适宜(15张)、联合用药不适宜(8张)和无适应证用药(5张)。结论:医院门急诊抗感冒药物的使用整体较为合理,但仍存在一些问题,医院应加强抗感冒药物的用药管理和宣传教育工作,提升临床的合理用药水平,减少不必要的药物治疗。

Objective:To analyze the prescription comments results of anti-cold drugs in the Outpatient and Emergency Departments of a hospital,and provide reference for the standardized and rational use of anti-cold drugs.Methods:A total of 800 prescriptions of anti-cold drugs were randomly selected from the Outpatient and Emergency Departments of Jiangsu Shengze Hospital from January 2018 to December 2019 according to the standard of 50 prescriptions per quarter.The prescriptions were commented according to the relevant guidelines,and the drug categories of the prescriptions,the distribution of departments and types of reasons for irrational prescriptions were analyzed.Results:The drugs involved in the 800 anti-cold drug prescriptions were mainly oral antipyretics and analgesics(436),Chinese patent medicines(405),compound anti-infective preparations(370)and antibacterials(367),but there were also injections(218).Among the 800 prescriptions,there were 36 unreasonable prescriptions,mainly from the outpatient of respiratory medicine(16),emergency internal medicine(9)and emergency pediatrics(5).The main reasons of unreasonable prescriptions were inappropriate usage and dosage(15),inappropriate combination medication(8),and no indication medication(5).Conclusion:The use of anti-cold drugs in Outpatient and Emergency Departments of the hospital is generally reasonable,but there are still some problems.The hospital should strengthen the use management and publicity and education of anti-cold drugs,improve the level of clinical rational drug use,and reduce unnecessary drug therapy.