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目的:了解我院内科住院患者中药注射剂的使用情况及用药合理性。方法:抽查内科住院病房2011年10～12月出院病历420例,分别统计中药注射剂的用药人数、品种、剂量、溶媒及联合用药情况,分析用药合理性。结果:内科住院患者的中药注射剂使用率65.71%,其中三种中药注射剂联合使用病例占4.35%,两种中药注射剂联合使用病例占31.16%,存在联合用药不合理、给药剂量较大、疗程较长、溶媒选择不当及溶媒剂量较小等问题。结论:中药注射剂的临床使用中存在安全隐患,医院应加强管理,防范药品不良反应发生。
Objective: To understand the use of Chinese medicine inpatients in our hospital and the rationality of medication. Methods: A total of 420 medical records of medical inpatients from October to December in 2011 were randomly selected. The number, variety, dosage, vehicle and drug combination of Chinese medicine injection were statistically analyzed, and the rationality of drug use was analyzed. Results: The inpatient medical inpatient’s usage rate of Chinese medicine injections was 65.71%, of which, the combined use of three kinds of traditional Chinese medicine accounted for 4.35%. The combined use of two kinds of traditional Chinese medicine accounted for 31.16%. The combination therapy was unreasonable, the dosage was larger, Long, improper solvent selection and solvent dose less problems. Conclusion: There are potential safety problems in the clinical use of Chinese traditional medicine injections. The hospital should strengthen the management to prevent the occurrence of adverse drug reactions.