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目的研究静脉配置中心(PIVAS)对中药注射剂合理使用的影响。方法选取2011年1—6月我院使用中药注射剂患者2 000例作为对照组,另选取2012年1—6月我院使用中药注射剂患者2 000例作为干预组。对照组行常规给药,未进行干预;干预组由PIVAS进行干预。观察两组干预前后超适应证用药、溶媒选择错误、配伍欠妥、超疗程、超剂量用药患者所占比例。结果干预组患者在超适应证用药、溶媒选择错误、配伍欠妥、超剂量方面所占比例均低于对照组(P<0.05)。结论 PIVAS的建立及有效干预进一步促进了医院中药注射剂的合理用药。
Objective To study the influence of intravenous injection center (PIVAS) on the rational use of traditional Chinese medicine injection. Methods From January to June in 2011, 2 000 cases of Chinese medicine injection in our hospital were selected as the control group. Another 2 000 cases of Chinese medicine injection in our hospital from January to June in 2012 were selected as the intervention group. Control group routinely administered without intervention; intervention group intervention by PIVAS. Before and after intervention in two groups observed the use of drugs, solvent selection errors, inadequate compatibility, overdose, overdose proportion of patients. Results The patients in the intervention group were lower than those in the control group (P <0.05) in the indications of drug use, wrong solvent selection, improper compatibility and overdose. Conclusion The establishment of PIVAS and effective intervention further promote the rational use of traditional Chinese medicine injections in hospitals.