CAJ | 학술논문

目的：调查某院门诊处方的基本情况,评价处方点评制度改进的效果,促进临床合理用药。方法分层等比例抽取某院门诊西药、中成药处方共1410张,以《处方管理办法》和《医院处方点评管理规范(试行)》为依据填写处方点评工作表,并对处方基本指标、不合理处方类型及比例进行对比分析。结果平均用药品种数从2.47分别降至1.83、1.78、1.97,不合理处方比例从49.52%降至25.29%(P<0.008)。结论处方点评制度的改进显著改善了处方质量,但不合理处方率仍较高,合理用药水平有待进一步提高。
목적：조사모원문진처방적기본정황,평개처방점평제도개진적효과,촉진림상합리용약。방법분층등비례추취모원문진서약、중성약처방공1410장,이《처방관리판법》화《의원처방점평관리규범(시행)》위의거전사처방점평공작표,병대처방기본지표、불합리처방류형급비례진행대비분석。결과평균용약품충수종2.47분별강지1.83、1.78、1.97,불합리처방비례종49.52%강지25.29%(P<0.008)。결론처방점평제도적개진현저개선료처방질량,단불합리처방솔잉교고,합리용약수평유대진일보제고。
Objective To investigate the basic situation of outpatient prescriptions in a hospital, to evaluate the effects of the improvement of prescription evaluation system, and to promote rationally clinical drug use. Methods A total of 1410 outpatient prescriptions, including Western medicine and Chinese patent drug, were selected by stratified and equal proportion sampling from a hospital. According to Prescription Management Method and management regulation for hospital prescription Comments (trial),prescription comment sheets were filled. Basic index of outpatient prescription, types and proportion of irrational prescriptions were compared and analyzed. Results The average type of drugs in each prescription decreased from 2.47 to 1.83, 1.78, and 1.97. The proportion of irrational prescriptions decreased from 49.52%to 25.29%(P<0.008). Conclusion The improvement of prescription evaluation system has significantly improved the quality of prescription, but the proportion of irrational prescriptions is still a little high and the level of rational drug use remains to be further improved.