某院住院患者中药注射剂不合理用药问题分析

Analysis of the Problem of Irrational Use of Chinese Medicine Injections in Inpatients of a Hospital

目的:分析住院患者中药注射剂的不合理用药情况,提出针对性的解决措施,促进中药注射剂的合理使用。方法:回顾性分析2021年10月-2022年10月镇江市中西医结合医院中药注射剂治疗的住院患者1080例临床资料,探讨不合理医嘱存在的问题。结果:1080例患者中,不合理使用中药注射剂79例(7.31%);超适应证用药32例,用法用量不合理24例,溶媒选择不合理13例,联合用药不合理10例;中药注射剂使用不合理排名前三位的科室分别为心内科、老年科、肿瘤科。结论:该院住院患者中药注射剂使用存在一定程度的不合理问题,针对性的采取干预措施,加强中药注射剂的医嘱点评、监督和管理,有助于提高中药注射剂使用的合理性,保障患者临床用药治疗的安全性和有效性。

Objective:To analyze the irrational use of Chinese medicine injections in hospitalized patients,propose targeted solutions,and promote the rational use of Chinese medicine injections.Methods:To retrospectively analyze the clinical data of one thousand and eighty inpatients treated with Zhenjiang Hospital of Integrated Chinese and Western Medicine from October 2021 to October 2022,and to explore the problems of unreasonable medical prescriptions.Results:Among a total of one thousand and eighty patients,there were 79 cases(7.31%)of irrational use of Chinese herbal injections.There were 32 cases of super-indication use,24 cases of irrational dosage,13 cases of irrational choice of solvents,and 10 cases of irrational combination use.The top three departments with irrational use of Chinese medicine injections were cardiology,geriatrics and oncology.Conclusion:There was a certain degree of irrational use of Chinese medicine injections in the hospital's inpatients.Targeted interventions to strengthen the medical advice review,supervision and management of Chinese medicine injections can help improve the rationality of Chinese medicine injections use and guarantee the safety and effectiveness of patients'clinical medication treatment.