论文部分内容阅读
目的统计分析本院门诊处方用药情况,探讨解决问题对策,促进临床合理用药。方法随机抽取本院2013年1—12月门诊处方14 400张,根据药品说明书、《新编药物学(第16版)》、《临床用药须知(2010版)》、《抗菌药物临床应用指导原则》等对处方进行点评分析,统计不合理用药处方数量、类型。结果统计的14 400张处方中,284张为不合理用药处方,占处方总数的1.91%,不合理处方类型主要表现在遴选药品不合理、用法用量不合理、重复用药不合理、联合用药不合理、诊断与用药不符、溶媒选择不合理、应皮试药品未皮试、配伍不合理及其他分别为10.92%、19.72%、14.79%、14.79%、15.85%、8.10%、11.97%、9.86%、8.80%。结论医师和药师在合理用药方面都起着重要作用,医师应加强业务素质和专业知识水平培训,药师应掌握全面的临床药学知识。
Objective To analyze and analyze prescription medication in outpatient clinics in our hospital, explore ways to solve the problems and promote clinical rational use of drugs. Methods A total of 14 400 outpatient prescriptions in our hospital from January to December in 2013 were randomly collected. According to the drug instruction manual, “New Pharmacology (16th edition)”, “Clinical Notes for Use (2010 Edition)”, “Guiding Principles of Clinical Application of Antibacterials ”Comments and other analysis of the prescription, statistics, irrational medication prescription number, type. Results Of the 14 400 prescriptions surveyed, 284 were irrational prescriptions, accounting for 1.91% of the total number of prescriptions. The types of irrational prescriptions mainly included the unreasonable selection of medicines, the irrational usage, the unreasonable repetitive medication and the unreasonable combination of drugs , The diagnosis is inconsistent with the medication, the solvent selection is not reasonable, and the skin test drug is not skin test, unreasonable compatibility and others are 10.92%, 19.72%, 14.79%, 14.79%, 15.85%, 8.10%, 11.97%, 9.86% 8.80%. Conclusion Physicians and pharmacists play an important role in the rational use of drugs. Physicians should enhance their professional qualifications and professional knowledge training. Pharmacists should have a comprehensive knowledge of clinical pharmacy.