中国医药
中國醫藥
중국의약
CHINA MEDICINE
2011年
8期
962-963
,共2页
合理用药%中成药%门诊处方%处方分析
閤理用藥%中成藥%門診處方%處方分析
합리용약%중성약%문진처방%처방분석
Chinese patent medicine%Outpatient prescription%Rational drug use%Analysis on prescriptions
目的 分析我院中药房中成药不合理用药情况,为提高处方质量提供参考.方法 抽取2009年1-12月中药房中成药处方6000张,根据<处方管理办法>、药品的说明书、临床药理学知识,判断处方的不合理用药情况并进行归类分析.结果 不合理用药处方344张,不合格率为5.73%.在不合格处方的类别中用药与诊断不符的比例为35.76%(123/344),明显高于其他类别,中成药处方中的2.05%(123/6000)存在用药与诊断不符的问题.无临床诊断56张,占不合格处方的16.28%;由处方超量引起的不合格处方为78例,其发生率占不合格处方总数的22.67%;给药途径不合理出现比例较低,为0.25%(15/6000),占不合格处方的4.36(15/344);重复用药率为0.48%(29/6000),占不合格处方的8.43%(29/344);配伍禁忌为0.15%(9/6000),占不合格处方的2.62%(9/344).结论 我院中药房中成药处方使用基本合理,但仍存在问题,需医师和药师共同努力进一步改善和提高.
目的 分析我院中藥房中成藥不閤理用藥情況,為提高處方質量提供參攷.方法 抽取2009年1-12月中藥房中成藥處方6000張,根據<處方管理辦法>、藥品的說明書、臨床藥理學知識,判斷處方的不閤理用藥情況併進行歸類分析.結果 不閤理用藥處方344張,不閤格率為5.73%.在不閤格處方的類彆中用藥與診斷不符的比例為35.76%(123/344),明顯高于其他類彆,中成藥處方中的2.05%(123/6000)存在用藥與診斷不符的問題.無臨床診斷56張,佔不閤格處方的16.28%;由處方超量引起的不閤格處方為78例,其髮生率佔不閤格處方總數的22.67%;給藥途徑不閤理齣現比例較低,為0.25%(15/6000),佔不閤格處方的4.36(15/344);重複用藥率為0.48%(29/6000),佔不閤格處方的8.43%(29/344);配伍禁忌為0.15%(9/6000),佔不閤格處方的2.62%(9/344).結論 我院中藥房中成藥處方使用基本閤理,但仍存在問題,需醫師和藥師共同努力進一步改善和提高.
목적 분석아원중약방중성약불합리용약정황,위제고처방질량제공삼고.방법 추취2009년1-12월중약방중성약처방6000장,근거<처방관리판법>、약품적설명서、림상약이학지식,판단처방적불합리용약정황병진행귀류분석.결과 불합리용약처방344장,불합격솔위5.73%.재불합격처방적유별중용약여진단불부적비례위35.76%(123/344),명현고우기타유별,중성약처방중적2.05%(123/6000)존재용약여진단불부적문제.무림상진단56장,점불합격처방적16.28%;유처방초량인기적불합격처방위78례,기발생솔점불합격처방총수적22.67%;급약도경불합리출현비례교저,위0.25%(15/6000),점불합격처방적4.36(15/344);중복용약솔위0.48%(29/6000),점불합격처방적8.43%(29/344);배오금기위0.15%(9/6000),점불합격처방적2.62%(9/344).결론 아원중약방중성약처방사용기본합리,단잉존재문제,수의사화약사공동노력진일보개선화제고.
Objective To investigate the prescriptions of Chinese Patent Medicine in traditional Chinese medicine pharmacy to improvive the quality of prescription. Methods A total of 6000 prescriptions were reviewed in 2009. The irrational prescriptions were sorted and analyzed according to Prescription Management Policy, the label of medicine and the knowledge of clinical pharmacology. Results Of all the prescriptions reviewed, there were 344 irrational prescriptions and the rate of irrational prescription was 5. 73%. One hundred and twenty-three prescriptions (35.76%) were unmatched between drug usage and diagnosis and this rate was 2.05% in terms of all the prescriptions. Fifty-six prescriptions (16. 28%) had no clinical diagnosis. Seventy-eight prescriptions (22.67%) had over dosage. Fifteen prescriptions(4.36%) were involved irrational route of administration and 29 prescriptions (8.43%) were involved repeated drug use. Nine prescriptions(2.62%) were contraindication. Conclusions The drug use in the outpatient is basically rational and still needs to be improved.
