CAJ | 학술논문

在药物治疗的整个过程、各个环节中都可能出现不合理用药。哮喘不合理用药主要表现在药物治疗的总体安排不当、药物治疗方案的设计不当和药物治疗方案的执行不当3个环节。用药是否合理应根据是否符合疾病、患者及药物三方面的特点来判断。我们首先要发现不合理用药，然后对其进行积极处理，包括调整药物治疗的方向和目标、调整药物治疗的方案及其执行。当然，合理和不合理用药是相对的，我们在处理中不能绝对化，应评估得失、权衡利弊、趋利避害，做出适当的决策。
재약물치료적정개과정、각개배절중도가능출현불합리용약。효천불합리용약주요표현재약물치료적총체안배불당、약물치료방안적설계불당화약물치료방안적집행불당3개배절。용약시부합리응근거시부부합질병、환자급약물삼방면적특점래판단。아문수선요발현불합리용약，연후대기진행적겁처리，포괄조정약물치료적방향화목표、조정약물치료적방안급기집행。당연，합리화불합리용약시상대적，아문재처리중불능절대화，응평고득실、권형리폐、추리피해，주출괄당적결책。
Irrational drug therapy may appear during the whole therapeutic process and in every step. The irrational medication for asthma primarily manifests in the improper overall arrangement of medication and inappropriate design and implement of therapeutic schedule. Whether rational medication or not should be judged on the basis of the characteristics of the disease, the patient and the drug itself. We need to do our best to find out the irrational drug therapy, and then manage it actively by adjusting the direction and goal of medication, and/or adjusting the schedule and implement of medication. What’s more, we should be aware of the relativity of rational and irrational drug therapy. In the process of managing the irrationality, we must be flexible, and should assess the pros and cons, balance benefits and harms, avoid disadvantages, and then make appropriate decisions finally.