中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2014年
12期
1509-1510,1524
,共3页
中成药%安全性%综合医院%合理用药
中成藥%安全性%綜閤醫院%閤理用藥
중성약%안전성%종합의원%합리용약
Chinese patent medicine%Safety analysis%Comprehensive hospital%Rational use of drug
目的：通过处方点评发现综合医院使用中成药潜在的安全性问题。方法：采用分层随机抽样的方法，抽取2013年12个月共计2400张中成药处方，进行统计分析。结果：合格处方2027张，合格率84.46%。不合格处方373张，占所查处方的15.54%。问题涉及用法用量，遴选药品、超适应证、联合用药，不适宜配伍禁忌和不良相互作用，重复给药等情况。结论：处方点评发现多方面的中成药使用存在安全隐患。针对于此，必须加强医师，药师的中成药相关业务培训，并积极优化医院的信息监控系统，提升中成药使用的监测示警功能。
目的：通過處方點評髮現綜閤醫院使用中成藥潛在的安全性問題。方法：採用分層隨機抽樣的方法，抽取2013年12箇月共計2400張中成藥處方，進行統計分析。結果：閤格處方2027張，閤格率84.46%。不閤格處方373張，佔所查處方的15.54%。問題涉及用法用量，遴選藥品、超適應證、聯閤用藥，不適宜配伍禁忌和不良相互作用，重複給藥等情況。結論：處方點評髮現多方麵的中成藥使用存在安全隱患。針對于此，必鬚加彊醫師，藥師的中成藥相關業務培訓，併積極優化醫院的信息鑑控繫統，提升中成藥使用的鑑測示警功能。
목적：통과처방점평발현종합의원사용중성약잠재적안전성문제。방법：채용분층수궤추양적방법，추취2013년12개월공계2400장중성약처방，진행통계분석。결과：합격처방2027장，합격솔84.46%。불합격처방373장，점소사처방적15.54%。문제섭급용법용량，린선약품、초괄응증、연합용약，불괄의배오금기화불량상호작용，중복급약등정황。결론：처방점평발현다방면적중성약사용존재안전은환。침대우차，필수가강의사，약사적중성약상관업무배훈，병적겁우화의원적신식감공계통，제승중성약사용적감측시경공능。
[ABSTRACT]Objective:To findout potential safety problems of Chinese patent medicine in comprehensive hospital by prescription comments. Methods:A sample of 2400 pieces from Chinese patent medicine prescription in 2013 was analyzed statistically by using stratified random sampling method. Results:2027 piece of qualified prescriptions (84.46%) and 373 piece of unqualified prescriptions( 15.54%) were found out.The potential problems involved in the usage, dosage, selection of drugs, beyond the confines of medication indications, combined usage, unsuitable for incompatibility, adverse interaction and repeated administration were also observed. Conclusion: Many hidden safety problems in using Chinese patent drugs were found through prescription comments.According to which, the training of physicians and pharmacists should be strengthen on Chinese patent medicine relevant knowledge.At the same time, hospital Information monitoring system should be optimized in order to improve the monitoring and alarm function on the usage of Chinese patent medicine.
