中国医药
中國醫藥
중국의약
China Medicine
2015年
11期
1670-1672
,共3页
中成药%调查分析%合理用药
中成藥%調查分析%閤理用藥
중성약%조사분석%합리용약
Chinese patent medicine%Analysis%Rational drug use
目的 了解重庆三峡中心医院中成药临床应用的合理性.方法 根据重庆三峡中心医院2014年1-9月用量排名前10位的中成药口服及注射剂型,分别抽取相应药品用量排名前10位的医师处方进行适宜性审核,共计收集门诊处方630张、住院患者病历585份,对中成药临床使用的合理性进行分析.结果 临床上中成药不合理应用共412例次,主要为用药不适宜及超常处方,表现为无适应证49例次(11.9％)、超剂量117例次(28.4％)、超疗程71例次(17.2％)、溶媒选择不当41例次(9.9％)、配制浓度过高81例次(19.7％)及重复给药53例次(12.9％)等.结论 中成药临床应用不合理现象严重,临床应高度重视并逐步改进以促进中成药的合理使用.
目的 瞭解重慶三峽中心醫院中成藥臨床應用的閤理性.方法 根據重慶三峽中心醫院2014年1-9月用量排名前10位的中成藥口服及註射劑型,分彆抽取相應藥品用量排名前10位的醫師處方進行適宜性審覈,共計收集門診處方630張、住院患者病歷585份,對中成藥臨床使用的閤理性進行分析.結果 臨床上中成藥不閤理應用共412例次,主要為用藥不適宜及超常處方,錶現為無適應證49例次(11.9％)、超劑量117例次(28.4％)、超療程71例次(17.2％)、溶媒選擇不噹41例次(9.9％)、配製濃度過高81例次(19.7％)及重複給藥53例次(12.9％)等.結論 中成藥臨床應用不閤理現象嚴重,臨床應高度重視併逐步改進以促進中成藥的閤理使用.
목적 료해중경삼협중심의원중성약림상응용적합이성.방법 근거중경삼협중심의원2014년1-9월용량배명전10위적중성약구복급주사제형,분별추취상응약품용량배명전10위적의사처방진행괄의성심핵,공계수집문진처방630장、주원환자병력585빈,대중성약림상사용적합이성진행분석.결과 림상상중성약불합리응용공412례차,주요위용약불괄의급초상처방,표현위무괄응증49례차(11.9％)、초제량117례차(28.4％)、초료정71례차(17.2％)、용매선택불당41례차(9.9％)、배제농도과고81례차(19.7％)급중복급약53례차(12.9％)등.결론 중성약림상응용불합리현상엄중,림상응고도중시병축보개진이촉진중성약적합리사용.
Objective To investigate the rational application of Chinese patent medicine at Chongqing Three Gorges Central Hospital.Methods Top ten use of the oral Chinese patent medicine and Chinese patent medicine infection from January to September in 2014 were collected, the top ten doctors who used above medicine were selected and their 630 outpatient prescriptions and 585 discharged medical records were statistically analyzed.Results There were 412 irrational use of Chinese patent medicine, mainly inappropriate medication and excessive prescriptions, such as improper indication [11.9％ (49/412)], overdosage [28.4％ (117/412)], long course of treatment [17.2％ (71/412)], improper solvent [9.9％ (41/412)], over concentration [19.7％ (81/412)] and repeated administration [12.9％ (53/412)].Conclusion The unreasonable use of Chinese patent medicine is serious, more attention should be paid to promote the rational use of Chinese patent medicine.
