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目的调查医院门诊中的不合理用药情况,以采取有效的措施,提高临床用药合理性。方法随机抽取门诊于2013年1至12月的418张药品处方,调查不合理处方主要类型及原因,分析有效解决措施。结果 418张处方中,不合理处方35张,不合理处方率为8.4%;不合理用药处方中用量、用法不当率占总处方的4.3%,明显高于其他不合理用药类型,差异有统计学意义(P<0.05)。结论门诊常见不合理用药类型为用量用法不当、重复用药、配伍不合理、溶媒选择不合理等,结合不规范处方的原因,加强门诊药品管理,以提高药物使用的合理性。
Objective To investigate the irrational use of drugs in outpatient clinics to take effective measures to improve the rationality of clinical medication. Methods A total of 418 prescriptions were randomly selected from outpatients from January to December in 2013 to investigate the main types of unreasonable prescriptions and their causes, and to analyze effective solutions. Results Of the 418 prescriptions, 35 were unreasonable and the unreasonable prescription rate was 8.4%. The unreasonable prescription rate was 4.3% in irrational prescriptions, accounting for 4.3% of the total prescription, which was significantly higher than that of other unreasonable types of medication Significance (P <0.05). Conclusions The common types of outpatients are improper dosage, repeated medication, unreasonable compatibility and unreasonable selection of solvents. Combined with the reasons of non-standard prescriptions, outpatient drug administration is strengthened to improve the rationality of drug use.