CAJ | 학술논문

目的：通过对我院滨江院区门诊处方进行点评，以提高处方质量，促进临床合理用药。方法：抽取我院滨江院区2013年7-12月门诊处方7840张，对相关指标进行回顾性汇总与分析。结果：7840张门诊处方中，患者平均年龄为（45.32±21.26）岁，男女比例为1.04∶1；平均每张处方用药2.13种，抗菌药物使用率为22.10％，注射剂使用率为15.03％，基本药物使用率为39.46％，药品通用名使用率为100％，平均每张处方金额为124.36元，中成药使用率为19.17％；处方合理率为94.68％。在不合理处方中，不规范处方占44.36％，用药不适宜处方占52.28％，超常处方占3.36％。结论：我院滨江院区门诊用药基本合理，但仍应加强用药监督、干预、考核，以降低药品费用、提高合理用药水平。
목적：통과대아원빈강원구문진처방진행점평，이제고처방질량，촉진림상합리용약。방법：추취아원빈강원구2013년7-12월문진처방7840장，대상관지표진행회고성회총여분석。결과：7840장문진처방중，환자평균년령위（45.32±21.26）세，남녀비례위1.04∶1；평균매장처방용약2.13충，항균약물사용솔위22.10％，주사제사용솔위15.03％，기본약물사용솔위39.46％，약품통용명사용솔위100％，평균매장처방금액위124.36원，중성약사용솔위19.17％；처방합리솔위94.68％。재불합리처방중，불규범처방점44.36％，용약불괄의처방점52.28％，초상처방점3.36％。결론：아원빈강원구문진용약기본합리，단잉응가강용약감독、간예、고핵，이강저약품비용、제고합리용약수평。
OBJECTIVE:To review the outpatient prescriptions in Binjiang Branch of our hospital to improve the quality of out-patient prescriptions and promote clinical rational use of drugs. METHODS:7 840 outpatient prescriptions sampled from Binjiang Branch of our hospital from July to December in 2013 were reviewed with regard to the relevant indicators. RESULTS:In 7 840 outpatient prescriptions,the patients’average age was(45.32 ± 21.26) years at male/female ratio of 1.04∶1;an average of 2.13 drugs were prescribed per prescription;the rate of antibiotic use was 22.10%,with injections prescribed in 15.03%,essential drugs in 39.46%,generic names in 100%,average consumption sum of 124.36 yuan per prescription,rate of qualified prescrip-tions of 94.68%. Among the irrational prescriptions,the non-standard prescriptions were noted in 44.36%,inappropriate drug use prescriptions in 52.28%,and off-label use prescriptions in 3.36%. CONCLUSIONS:The drug use in Binjiang Branch of our hospi-tal was rational on the whole,however,efforts must be taken to strengthen supervision,intervention and review on prescriptions to reduce drug cost and improve rational drug use level.