转化医学电子杂志
轉化醫學電子雜誌
전화의학전자잡지
2014年
3期
136-138
,共3页
中药%合理用药%安全性%应对措施
中藥%閤理用藥%安全性%應對措施
중약%합리용약%안전성%응대조시
traditional-Chinese-medicine%rational-drug-use%se-curity%countermeasures
目的：分析中药临床合理用药的安全性及应对措施．方法：选取2011-10-10/2013-10-10在我院进行中药治疗的患者2130例，出现中药用药不良反应的患者111例．记录每位患者在治疗中使用的药物配方、配制方法、治疗效果及用药不良反应，对于用药不良反应发生的患者，详细记录出不良反应的临床症状以及发生原因，并对用药的安全性进行评估．结果：本组111例中药用药不良反应患者中，因未实施辨证论治造成用药不良反应发生率最高，高达33．33％，其次是因用量用法错误造成用药不良反应发生率为27．03％，因中西药联用不当及中药炮制不当造成用药不良反应发生率分别为17．12％及16．22％，其他原因导致用药不良反应发生率为6．31％，男女不同原因造成用药不良反应发生率比较，差异无统计学意义（P＞0．05）．结论：中药临床合理用药安全性问题主要包括医师问题、用法用量问题、中西联合用药问题、中药炮制问题以及患者问题等几个方面，临床应严格监督，合理用药，规范炮制，严格中西药联用规范并做好患者思想工作以保障用药安全性．
目的：分析中藥臨床閤理用藥的安全性及應對措施．方法：選取2011-10-10/2013-10-10在我院進行中藥治療的患者2130例，齣現中藥用藥不良反應的患者111例．記錄每位患者在治療中使用的藥物配方、配製方法、治療效果及用藥不良反應，對于用藥不良反應髮生的患者，詳細記錄齣不良反應的臨床癥狀以及髮生原因，併對用藥的安全性進行評估．結果：本組111例中藥用藥不良反應患者中，因未實施辨證論治造成用藥不良反應髮生率最高，高達33．33％，其次是因用量用法錯誤造成用藥不良反應髮生率為27．03％，因中西藥聯用不噹及中藥砲製不噹造成用藥不良反應髮生率分彆為17．12％及16．22％，其他原因導緻用藥不良反應髮生率為6．31％，男女不同原因造成用藥不良反應髮生率比較，差異無統計學意義（P＞0．05）．結論：中藥臨床閤理用藥安全性問題主要包括醫師問題、用法用量問題、中西聯閤用藥問題、中藥砲製問題以及患者問題等幾箇方麵，臨床應嚴格鑑督，閤理用藥，規範砲製，嚴格中西藥聯用規範併做好患者思想工作以保障用藥安全性．
목적：분석중약림상합리용약적안전성급응대조시．방법：선취2011-10-10/2013-10-10재아원진행중약치료적환자2130례，출현중약용약불량반응적환자111례．기록매위환자재치료중사용적약물배방、배제방법、치료효과급용약불량반응，대우용약불량반응발생적환자，상세기록출불량반응적림상증상이급발생원인，병대용약적안전성진행평고．결과：본조111례중약용약불량반응환자중，인미실시변증론치조성용약불량반응발생솔최고，고체33．33％，기차시인용량용법착오조성용약불량반응발생솔위27．03％，인중서약련용불당급중약포제불당조성용약불량반응발생솔분별위17．12％급16．22％，기타원인도치용약불량반응발생솔위6．31％，남녀불동원인조성용약불량반응발생솔비교，차이무통계학의의（P＞0．05）．결론：중약림상합리용약안전성문제주요포괄의사문제、용법용량문제、중서연합용약문제、중약포제문제이급환자문제등궤개방면，림상응엄격감독，합리용약，규범포제，엄격중서약련용규범병주호환자사상공작이보장용약안전성．
AIM:Analyzing the safety and countermeasures of traditional Chinese medicine (TCM)in clinical rational drug use. METHODS:There were 2 130 cases who received TCM treat-ment from 10th October 2013 to 201 1 10th October in our hospi-tal,and there were 1 1 1 cases getting adverse reactions.Recording pharmaceutical formulations, preparation method, therapeutic effect and adverse drug reaction of each patient.For those who got ADR,we recorded clinical symptoms and causes of adverse reac-tions and security evaluation of drug.RESULTS:In the 1 1 1 pa-tients with adverse reactions of drug,the reason of no implemen-ting syndrome differentiation and treatment that caused adverse re-actions was the highest incidence (33.33%);the second reason was wrong dosage and administration (27.03%);next was joint use of Chinese and Western medicines inappropriately and Chi-nese herbal medicine processing inappropriately,the incidence of adverse reactions was 17.12%,16.22%respectively;other cau-ses of adverse reactions was 6.31%.Comparing the incidence of adverse reactions caused by genders,with no significant difference (P>0.05).CONCLUSION:The security problems of TCM in clinical rational drug use includes doctors,dosage and administra-tion,joint use of Chinese and Western medicines,Chinese herbal medicine processing and patient's own problems etc.We should take strict supervision,rational drug use,formal Chinese herbal medicine processing,strict joint use of Chinese and Western med-icines and comfort patients to ensure drug safety.
