CAJ | 학술논문

目的：对医院门诊药房药品服务部处方进行点评与分析，为临床合理用药提供参考。方法依据处方点评指南，采用回顾性分析方法，对医院门诊药房药品服务部2013年1月至7月的处方进行等距离抽样提取，共抽取1371张处方，对处方的各项基本指标进行审查并逐一登记，并对数据进行统计分析。结果不合理处方占比呈明显下降趋势，从最初的9.20%下降至1.00%。1371张处方中，重点对抗菌药物、血液制品、中药注射剂、激素、注射剂处方进行审查。平均用药品种数1.9~2.2种，抗感染药物使用率维持在9.4%~17.1%，注射剂的平均使用率最高为3.8%。不规范处方占不合理处方总数的14.81%，不适宜处方占不合理处方总数的85.91%。结论医院门诊药房药品服务部处方用药情况基本合理，但不合理处方问题应值得重视，药师应积极发挥审核和干预作用，促进临床合理用药。
목적：대의원문진약방약품복무부처방진행점평여분석，위림상합리용약제공삼고。방법의거처방점평지남，채용회고성분석방법，대의원문진약방약품복무부2013년1월지7월적처방진행등거리추양제취，공추취1371장처방，대처방적각항기본지표진행심사병축일등기，병대수거진행통계분석。결과불합리처방점비정명현하강추세，종최초적9.20%하강지1.00%。1371장처방중，중점대항균약물、혈액제품、중약주사제、격소、주사제처방진행심사。평균용약품충수1.9~2.2충，항감염약물사용솔유지재9.4%~17.1%，주사제적평균사용솔최고위3.8%。불규범처방점불합리처방총수적14.81%，불괄의처방점불합리처방총수적85.91%。결론의원문진약방약품복무부처방용약정황기본합리，단불합리처방문제응치득중시，약사응적겁발휘심핵화간예작용，촉진림상합리용약。
Objective To conduct the comments and analysis on the prescriptions in the drug service department of our hospital outpa-tient pharmacy and to evaluate the medication rationality of these prescriptions in order to provide reference for clinical rational drug use. Methods According to the prescription comments guidance and by adopting the retrospective analysis method, 1 371 pieces of the prescription from January to July 2013 were eXtracted by using the equidistance sample eXtraction. The various basic indeXes of pre-scription were checked and registered one by one. The obtained data were carried out the statistical analysis. Results The proportion of unreasonable prescriptions showed a significant decline trend from January to July, which was decreased from initial 9. 20% to 1. 00% . Among 1 371 pieces of prescription, the prescriptions with antimicrobial agents, blood products, traditional Chinese medicine injection, hor-mones and injections were checked as emphasis. The average variety number of drugs was 1. 9 - 2. 2, the use rate of anti - infective drugs maintained in 9. 40% - 17. 1% , the average use rate of injections was highest at 3. 8% . The non - standardized prescriptions ac-counted for 14. 81% of total number of unreasonable prescriptions and the inappropriate prescriptions accounted for 85. 91% of the to-tal number of unreasonable prescription. Conclusion The drug use situation in the drug service department of our hospital outpatient pharmacy is basically rational, but there are still some problems which deserve to be paid more attention. Pharmacists should actively play the role of checking and intervention to promote rational drug use in clinic.