我院住院患者中药注射剂专项处方点评分析.pdfVIP

我院住院患者中药注射剂专项处方点评分析 ＊ 吴小红 ，谢根英，陈 欢，苏艳清（厦门市海沧医院药学部，福建厦门 361026） 中图分类号 R97 文献标志码 A 文章编号 1001-0408（2016）02-0269-03 DOI 10.6039/j.issn.1001-0408.2016.02.42 摘 要 目的：为促进我院中药注射剂的合理使用提供参考。方法：采用回顾性分析方法，利用医院合理用药监测系统，对我院 2014年住院患者处方含中药注射剂者按品种进行标记，每季度随机抽取3个品种的中药注射剂标记处方20张，共计240张，对中 药注射剂使用的品种、剂量、溶剂、给药途径、频率、联合用药等合理性进行分析。结果：240张中药注射剂处方中，不合理处方137 张（57.08％），主要表现为溶剂选择不适宜56张（28.43％）、溶剂剂量不适宜41张（20.81％），并结合点评发现的问题采取措施。结 论：通过中药注射剂专项处方点评，我院逐步规范了中药注射剂的应用，提高了医疗服务质量，保证了患者用药安全、合理、有效。 关键词 中药注射剂；处方点评；合理用药 Special Comment on TCM Injections Prescriptions Used by Inpatients in Our Hospital WU Xiaohong ，XIE Genying ，CHEN Huan ，SU Yanqing （Dept. of Pharmacy ，Xiamen Haicang Hospital ，Fujian Xiamen 361026，China ） ABSTRACT OBJECTIVE ：To promote rational drug use of TCM injection in our hospital. METHODS ：In retrospective analysis ，using PASS ，TCM injection prescriptions of inpatients were marked by drug types in our hospital in 2014. 20 marked TCM injection prescriptions were randomly collected quarterly among 3 types of TCM injection ，240 prescriptions in total. The rationality of TCM injection was analyzed in respects of type ，dose ，solvent ，route of administration ，frequency and drug combination. RESULTS ：240 TCM injection prescriptions were collected from our hospital in 2014，including 137 irrational prescriptions （57.08％），which mainly manifested as 56 prescriptions of unsuitable solvent selection （28.43％），41 prescriptions of unsuitable solvent dose （20.81％）. Based on prescription comment ，the problems were found out and counter- measures were adopted. CONCLUSIONS ：TCM injection prescription special comments standardize the application of TCM injection and are of significance to improve the quality of medical service and guarantee the safe ，reasonable and effective use of drugs. KEYWORDS TCM injections ；Prescription comment