苏州大学附属常熟医院滨江院区2013年712月门诊处方点评.PDFVIP

苏州大学附属常熟医院滨江院区2013 年7—12 月门诊 处方点评 * 陆 敏，沈 达，张桂芬，支伟锋（苏州大学附属常熟医院药剂科，江苏常熟 215500 ） 中图分类号 R969.3 文献标志码 A 文章编号 1672 －2124 （2014）09 －0824 －05 DOI 10.14009/j.issn. 1672-2124.2014.09.019 摘 要 目的：通过对我院滨江院区门诊处方进行点评，以提高处方质量，促进临床合理用药。方法：抽取我院滨江院区2013 年 7—12 月门诊处方7 840 张，对相关指标进行回顾性汇总与分析。结果：7 840 张门诊处方中，患者平均年龄为（45.32±21.26 ）岁，男 女比例为1.04 ∶1；平均每张处方用药2.13种，抗菌药物使用率为22.10％，注射剂使用率为15.03 ％，基本药物使用率为39.46 ％，药 品通用名使用率为100％，平均每张处方金额为124.36 元，中成药使用率为19.17％；处方合理率为94.68 ％。在不合理处方中，不 规范处方占44.36 ％，用药不适宜处方占52.28 ％，超常处方占3.36 ％。结论：我院滨江院区门诊用药基本合理，但仍应加强用药监 督、干预、考核，以降低药品费用、提高合理用药水平。 关键词 门诊处方；处方点评；合理用药；不合理处方 Review of Outpatient Prescriptions in Binjiang Branch of Changshu Hospital Affiliated to Soochow Univer- sity from July to December in 2013 LU Min ，SHEN Da ，ZHANG Gui-fen ，ZHI Wei-feng （Dept. of Pharmacy ，Changshu Hospital Affiliated to Sooch- ow University ，Jiangsu Changshu 215500 ，China ） ABSTRACT OBJECTIVE ：To review the outpatient prescriptions in Binjiang Branch of our hospital to improve the quality of out- patient prescriptions and promote clinical rational use of drugs. METHODS ：7 840 outpatient prescriptions sampled from Binjiang Branch of our hospital from July to December in 2013 were reviewed with regard to the relevant indicators. RESULTS ：In 7 840 outpatient prescriptions ，the patients ’average age was （45.32 ± 21.26 ）years at male/female ratio of 1.04 ∶ 1；an average of 2.13 drugs were prescribed per prescription ；the rate of antibiotic use was 22.10％，with injections prescribed in 15.03 ％，essential drugs in 39.46 ％，generic names in 100％，average consumption sum of 124.36 yuan per prescription ，rate of qualified prescrip- tions of 94.68 ％. Among the irrational prescriptions ，the non-standard prescriptions were noted in 44.36 ％，inappropriate drug use prescriptions in 52.28 ％，and off-label use prescriptions in 3.36 ％. CONCLUSIONS ：The drug use