急诊科西药类处方不合理性临床分析.docVIP

急诊科西药类处方不合理性临床分析 　　【摘要】 目的：分析急诊科西药类处方不合理情况。方法：随机抽取笔者所在医院急诊科2009年1月-2013年6月950例患者的1280张西药类处方，分析处方的不合理之处，对主要不合理类型进行归纳总结。结果：1280张西药类处方中发现不合理处方共40张，不合理处方占比3.13%。40例处方中27.5%的处方存在药物用法或用量不合理现象，是最常见的急诊科西药类处方不合理现象，其次常见的不合理原因为联合用药、药理拮抗、重复用药、药物配伍及溶媒选择不合理。结论：笔者所在医院急诊西药类处方依然存在一些不合理现象，主要集中在用法用量、联合用药、药物配伍、重复用药等方面。医务工作者应强化用药安全意识，规范西药使用，提升治疗效果、改善患者就医体验。 　　【关键词】 急诊科； 西药类处方； 不合理性； 临床分析 　　中图分类号 R605.9 文献标识码 B 文章编号 1674-6805（2014）18-0156-02 　　The Clinical Analysis of Irrational Prescription Drug in Emergency Department/HAN Qun-ying.//Chinese and Foreign Medical Research，2014，12（18）：156-157 　　【Abstract】 Objective： To analyze the irrational prescription drug in emergency department.Method： 1280 prescription drug for 950 patients were randomly selected from emergency department in the hospital from January 2009 to June 2013. The prescription were analyze not reasonable. The main unreasonable types were summarized in this paper.Result： 40 irrational prescription were found in the 1280 prescription， irrational prescriptions accounted for 3.13%. 27.5% of prescription drug usage or dosage presence anomaly was the most common class of prescription drugs in emergency department， followed by the common unreasonable due to combination therapy， pharmacological antagonism， repeated drug use， drug compatibility and unreasonable solvent choice.Conclusion： There are still some irrational phenomenon in the hospital of emergency department， mainly in terms of usage and dosage， combination therapy， drug compatibility， repeated drug use， etc. The medical workers should strengthen the awareness of drug safety， regulate medicine used to enhance the therapeutic effect， improving patients with medical experience. 　　【Key words】 Emergency department； Prescription medicine； Irrationality； Clinical analysis 　　First-author’s address： Western Hospital in Zhongshan City，Zhongshan 528411，China 　　处方是注册执业医师、执业助理医师在诊疗过程中为患者开具的、可作为患者用药凭证的医疗文书，需经过专业药学人员审核、调配，医生开具的处方质量可直接反应医生和医院的医疗水平，不合理的处方会降低诊疗效果，甚至威胁患者生命[1]。为了解笔者