CAJ | 학술논문

目的：了解合肥市某医院临床用药情况，分析存在的问题，促进临床合理用药。方法依据药品说明书、《新编药物学》等资料，对临床科室下达的针剂医嘱单进行审核，采取回顾性分析方法，对不合理使用情况进行统计分析。结果该医院2012年1月至2013年12月共统计不合理用药医嘱621条，类型分别为用量不合理、给药频次不合理、溶媒选择不合理、给药途经不合理、超说明书用法和重复给药6类。其中，用量不合理343条，占不合理用药比例55．23％，为主要不合理医嘱类型；给药频次不合理135条，比例为21．74％；溶媒不合理56条，比例为9．02％；给药途径不合理53条，比例8．53％；超说明书用法为33条，比例为5．31％；重复给药只有1例，比例仅为0．17％。结论该院临床用药存在不合理现象，基本反映住院医师针剂医嘱下达过程普遍存在的问题，需要进一步规范。
목적：료해합비시모의원림상용약정황，분석존재적문제，촉진림상합리용약。방법의거약품설명서、《신편약물학》등자료，대림상과실하체적침제의촉단진행심핵，채취회고성분석방법，대불합리사용정황진행통계분석。결과해의원2012년1월지2013년12월공통계불합리용약의촉621조，류형분별위용량불합리、급약빈차불합리、용매선택불합리、급약도경불합리、초설명서용법화중복급약6류。기중，용량불합리343조，점불합리용약비례55．23％，위주요불합리의촉류형；급약빈차불합리135조，비례위21．74％；용매불합리56조，비례위9．02％；급약도경불합리53조，비례8．53％；초설명서용법위33조，비례위5．31％；중복급약지유1례，비례부위0．17％。결론해원림상용약존재불합리현상，기본반영주원의사침제의촉하체과정보편존재적문제，수요진일보규범。
Objective To investigate the situation of the irrational clinical medical orders in a hospital of Hefei City,analyze the problem,in order to promote rational clinical medication.Methods Injection medication orders were inspected and analyzed according to dis-pensatory and new-edition pharmacology between January 2012 and December 2013.Results There were 621 irrational medication orders, which included unreasonable administration dosage,frequency,selection of solvent,route of administration,off-description usage and repeated administration.Respectively,343 unreasonable administration dosage medication orders,55.23%;135 unreasonable administration frequency medication orders,21.74%;56 unreasonable selection of solvent medication orders,9.02%;53 unreasonable route of administration medica-tion orders,8.53%;33 unreasonable off-description usage medication orders,5.31%;1 repeated administration order,0.17%.Conclusion There were irrational clinical medical orders,basically,the universal existence question reflected in the injection medication orders in our hospital.