摘要
目的:通过对某三甲医院中药饮片处方点评分析,了解该院中草药不合理用药情况,以降低不合理用药率和提高临床合理用药水平。方法:选取我院2012-2015年的中药饮片处方,每月随机抽取任意1天的处方200张(周六、日除外),结合《医院处方点评管理规范》《处方管理办法》和《中药处方格式及书写规范》等对抽取的处方进行点评。结果:2012-2015年分别抽查该院处方2149张、2200张、2400张和2 400张,共9 149张,不合格处方分别为1 021张、864张、541张和399张,处方不合格率分别为47.5%,39.3%,22.5%和16.6%;不合理处方以未注明特殊煎煮要求以及有毒中药超剂量未签字盖章为主。未注明饮片特殊用法要求的处方占不规范处方的80.2%,含毒性饮片超量使用处方占用药不适宜处方的88.7%。结论:该院中药饮片处方不合格率较高,临床医师、药师应重视中药饮片处方的规范性,确保临床用药安全、有效。
Objective:To understand the irrational drug use in a 3A Grade hospital by analysis of the prescription of traditional Chinese medicine (TCM) decoction pieces so as to decrease the irrational drug use rate and improve the level of clinical rational drug use. Methods:Two hundreds of prescriptions were randomly extracted on any one day of every month from 2012 to 2015 and evaluated in accordance with Prescription Administrative Method, Hospital Prescription Comments Management Norms and Prescription of Traditional Chinese Medicine Format and Writing Norms. Results:A total of 9 149, 2 200, 2 400 and 2 400 prescriptions of Chinese herbal medicine were collected in 2012, 2013, 2014 and 2015, of which 1 021, 864, 541 and 399 were unqualified, indicating unqualifiction rates of 47.5%, 39.3%, 22.5% and 16.6%, respectively. Unqualified prescriptions were mainly manifested as absences of special requirements for boiling and signature or stamp for excessive use of toxic Chinese herbal pieces, which accounted for 80.2% of non-standard prescriptions and 88.7% of inappropriate prescriptions respectively. Conclusion:The unqualification rate of Chinese herbal medicine prescriptions in this hospital is relatively high. Attention should be paid to the normalization of Chinese herbal medicine prescriptions so as to ensure the safe and effective use of drugs.
出处
《中国执业药师》
CAS
2017年第1期-,共5页
China Licensed Pharmacist
关键词
中药饮片
不合格处方
处方点评
合理用药
TCM Decoction Pieces
Unqualified Prescriptions
Prescription Comment
Rational Use of Drugs
