CAJ | 학술논문

目的：针对社区卫生服务中心中成药使用存在问题进行系统管理，对管理效果进行评价。方法：随机提取2012年1-6月每月5个工作日的门诊中成药处方，对用药合理性进行分析，实施管理干预。6个月后再次提取（2013年1-6月）每月5个工作日的门诊中成药处方，对中成药合理使用指标进行前后对照。结果：系统管理前不合理中成药处方比例为26.95%，管理后不合理中成药处方比例为12.55%，差异有统计学意义（P＜0.01）。管理后，用药与诊断不符、开具同类功效中成药、用量用法不规范、疗程不合理现象较管理前有明显改善，差异有统计学意义（P＜0.001）。结论：中成药系统管理方案效果较好。
목적：침대사구위생복무중심중성약사용존재문제진행계통관리，대관리효과진행평개。방법：수궤제취2012년1-6월매월5개공작일적문진중성약처방，대용약합이성진행분석，실시관리간예。6개월후재차제취（2013년1-6월）매월5개공작일적문진중성약처방，대중성약합리사용지표진행전후대조。결과：계통관리전불합리중성약처방비례위26.95%，관리후불합리중성약처방비례위12.55%，차이유통계학의의（P＜0.01）。관리후，용약여진단불부、개구동류공효중성약、용량용법불규범、료정불합리현상교관리전유명현개선，차이유통계학의의（P＜0.001）。결론：중성약계통관리방안효과교호。
Objectives: To conduct a systematic management of the problem existing in the use of Chinese patent medicines in the community health service centers and evaluate its management effectiveness. Methods: The outpatient prescriptions in the ifve working days in each month from January to June in 2012 were selected randomly, their rationality on medication was analyzed, and the management intervention was implemented. Six months later, the outpatient prescriptions in the five working days in each month from January to June in 2013 were selected again and their indexes of the rational use before and after the intervention were compared. Results: Before the systematic management, the ratio of the irrational prescriptions of Chinese patent medicine was 26.95%, and decreased to 12.55%after the management, so the differences had the statistical signiifcance (P<0.01). After the management, the phenomena in the inconformity between diagnosis and medicines, prescription of two or more Chinese patent medicines with the same therapeutic effect, not-standardized use in the dosage and administration as well as the irrational course of treatment had been signiifcantly improved and the differences had the statistical signiifcance (P<0.001). Conclusion:The systematic management plan of Chinese patent medicines has the better results.