摘要
目的 通过分析并汇总射阳县人民医院门、急诊中成药处方专项点评情况,以期为中成药的合理应用提供参考。方法 抽查2023年8月1日至2023年8月31日射阳县人民医院门、急诊处方中成药处方1000份,经点评其中不合理处方69份,因同一张处方可能存在2种及2种以上不合理情况,经统计不合理情况数量为86处。点评的依据包括《处方管理办法》《中成药临床应用指导原则》《中药处方格式及书写规范》《医院处方点评管理规范(试行)》,点评的内容包括不规范处方(临床诊断书写不全、临床诊断为健康查体),用药不适宜处方(外用制剂给药剂量不适宜、门诊处方超7日用量未说明情况、给药频次不适宜、给药途径不适宜、联合用药不适宜、适应证不适宜、药物用量不适宜、重复用药不适宜),超常处方(无适应证用药)等情况。结果 射阳县人民医院2023年8月份共点评处方1000份,不合理处方69份,因同一张处方可能存在2种及2种以上不合理情况,经统计不合理情况数量为86处,其中不规范处方共4处[临床诊断书写不全3处(3.49%)、临床诊断为健康查体1处(1.16%)],用药不适宜处方共80处[外用制剂给药剂量不适宜3处(3.49%)、门诊处方超7日用量未说明理由23处(26.74%)、给药频次不适宜10处(11.63%)、给药途径不适宜1处(1.16%)、联合用药不适宜3处(3.49%)、适应证不适宜19处(22.09%)、药物用量不适宜3处(3.49%)、重复用药不适宜18处(20.93%)],超常处方2处[无适应证用药2处(2.33%)]。结论 本院当月门、急诊中成药用药存在不合理现象,主要以门诊处方超7日用量未说明理由、适应证不适宜、重复用药不适宜为主。医院应当加以重视,严格落实相关制度和措施,加强中成药处方管理,促进中成药合理应用。
Objective To analyze and summarize the comments on the special prescriptions of Chinese patent medicines in the outpatient and emergency departments of Sheyang County People's Hospital,so as to provide reference for the rational application of Chinese patent medicines.Methods From August 1,2023 to August 31,2023,a total of 1,000 prescriptions of Chinese patent medicines in the outpatient and emergency departments of Sheyang County People's Hospital were randomly selected,and 69 unreasonable prescriptions were reviewed.Because there may be two or more unreasonable situations in the same prescription,the number of unreasonable situations was 86.The basis of the review includes the"prescription management method"Chinese patent medicine clinical application guiding principle"Chinese medicine prescription format and writing specification"hospital prescription review management specification(trial)."The content of the review includes non-standard prescriptions(clinical diagnosis writing is incomplete,clinical diagnosis is health examination),inappropriate prescriptions for medication(inappropriate dosage of external preparations,unspecified amount of outpatient prescription over 7 days,inappropriate frequency of administration,inappropriate route of administration,inappropriate combination of drugs,inappropriate indications,inappropriate dosage of drugs,inappropriate repeated medication),supernormal prescriptions(no indications for medication)and so on.Results In August 2023,a total of 1000 prescriptions were reviewed in Sheyang County People's Hospital,and 69 prescriptions were unreasonable.Because there may be two or more unreasonable situations in the same prescription,the number of unreasonable situations was 86,including 4 non-standard prescriptions[3 cases(3.49%)with incomplete clinical diagnosis,1 case(1.16%)with clinical diagnosis of health examination].There were 80 inappropriate prescriptions[3 cases(3.49%)inappropriate dosage of topical preparations,23 cases(26.74%)unreasonable dosage of outpatient prescriptions beyond 7 days,10(11.63%)inappropriate frequency of administration,1 case(1.16%)inappropriate route of administration,3 cases(3.49%)inappropriate combination of drugs,19 cases(22.09%)inappropriate indications,3 cases(3.49%)inappropriate dosage of drugs,18(20.93%)inappropriate repeated medication],2 abnormal prescriptions[2 cases(2.33%)medication without indications].Conclusions There are unreasonable phenomena in the use of Chinese patent medicine in the outpatient and emergency departments of our hospital in that month.The main reasons are that the dosage of outpatient prescription exceeds 7 days,the indications are not suitable,and the repeated medication is not suitable.Hospitals should pay attention to it,strictly implement relevant systems and measures,strengthen the prescription management of Chinese patent medicines,and promote the rational application of Chinese patent medicines.
作者
戴琳
DAI Lin(Sheyang County People's Hospital,Yancheng 224300,China)
出处
《中国医药指南》
2024年第3期99-101,105,共4页
Guide of China Medicine
关键词
中成药
门诊
急诊
处方
点评
分析
Chinese patent medicine
Outpatient
Emergency
Prescription
Comments
Analysis
