我院2012 年中成药处方不合理用药分析.pdfVIP

·中药视窗· 我院2012年中成药处方不合理用药分析 ＊ # 周敏华 ，吴晓玲 ，林 梅（广东省中西医结合医院药学部，广东佛山 528200） 中图分类号 R288；R969.3 文献标志码 C 文章编号 1001-0408（2013）27-2588-03 DOI 10.6039/j.issn. 1001-0408.2013.27.33 摘 要 目的：了解中成药不合理使用情况，促进临床合理用药。方法：随机抽取广东省中西医结合医院2012年中成药处方（含 住院医嘱）7223张，对其相关用药信息进行回顾性分析，并给予合理性评价。结果：1885张中成药处方存在不合理用药现象，不 合理用药率为26.1％。其中选药不符合辨证施治原则的处方占所有处方的25.8％，超适应证用药占23.1％，用药方法不合理占 21.0％，联合用中成药不合理占18.9％，用药剂量不合理占15.9％，用药不适宜占14.8％，用药疗程不合理占13.8％，中成药与化学 药不合理联用占9.5％。结论：中成药不合理应用现象突出，其中以选药不符合辨证施治原则、超适应证用药及用药方法不合理为 主要问题；临床医务人员应加强辨证论治，严格参照说明书规范用药。 关键词 中成药；不合理用药；处方点评 Analysis of Irrational Drug Use in the Prescriptions of Chinese Patent Medicines from Our Hospital in 2012 ZHOU Min-hua ，WU Xiao-ling ，LIN Mei （Dept. of Pharmacy ，Guangdong Hospital of Integrated Chinese and Western Medicine ，Guangdong Foshan 528200，China ） ABSTRACT OBJECTIVE ：To investigate the situation of irrational drug use and to improve rational drug use in clinic. METH- ODS ：A total of 7 223 prescriptions of Chinese patent medicines were selected randomly in our hospital in 2012. A retrospective analysis method was adopted to analyze their relevant medication information for evaluating the rationality about drug use. RE- SULTS ：Irrational drug use was found in 1885 prescriptions of Chinese patent medicines ，and the incidence of irrational drug use was 26.1％. Of them ，drug selection not conform to treatment based on syndrome differentiation accounted for 25.8％；exceeding indication accounted for 23.1％；unreasonable medication accounted for 21.0％；unreasonable drug combination accounted for 18.9％；unreasonable drug dosage accounted for 15.9％；unsuitable drug use accounted for 14.8％；unreasonable course of treat- ment accounted for 13.8％；unreasonable combination of traditional Chinese medicine and chemical drugs accounted for 9.5％. CONCLUSIONS ：T