不合理中药饮片处方的分析.docxVIP

不合理中药饮片处方的分析 叶颖霞 (广州医科大学附属第一医院广东广州510120) 【摘要】目的：分析中药饮片处方中的不合理问题，并探讨其发牛原因。方 法：从我院2012年所有门诊中药饮片处方中每月随机抽取1500张，全年共抽取 18000张处方进行调查，分析这些处方中所存在的不合理问题。结果：根据分析 结果，我们将主要存在的不合理问题归纳为以下几方面：诊断不规范、单味药物 剂量超量、毒性饮片使用量掌握不严和煎服方法错误。其中临床诊断不规范占调 查总量的8.80%；单味药物剂量超量占调查总量的50.47%；毒性饮片使用量掌握 不严占调查总量的9.67%；煎服方法错误占调查总量的6.80%。结论：医院应当 加强医生所开具的处方质量和药物临床应用的管理，进一步规范医师处方行为, 落实处方审核、发药、核对与用药交待；定期对医务人员进行合理用药知识培训； 制定并落实持续质量改进措施 【关键词】中药饮片处方 中医学 合理用药 【中图分类号】R95 【文献标识码】A 【文章编号】2095-1752 (2013) 34-0068-02 An alysis of Chi nese Herbal Medici ne Prescription un reas on able Yeying Xia (First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120 ) [Abstract】Objective: To analyze the prescription of Chinese Herbal Medicine irrational, and to explore the reasons for the occurrenee. Methods: From 2012 to all hospital outpatient prescriptions Chinese Herbal Medicine randomly selected 1,500 per month, the annual extraction of 18,000 prescript!ons to investigate, analyze un reas on able questio n of the existe nee of these prescripti ons ? Results: The results of the an alysis, we will mainly present an unreas on able question summarized in the following aspects: the diagnosis is not standardized, single flavor excessive dose, toxicity Pieces usage control is lax and decoction method errors. Where the clinical diagnosis is not standardized accounting 8.80% of the total survey ; survey accounted for 50.47% of total super single flavor dose ; toxic Pieces usage accounted for 9.67% of the total master lax investigation ; decoction method of accounting for the total survey error of 6.80% . Con clusi on: The hospital should st re ngthe n the quality and prescription drugs in clinical application management issued by doctors , physician prescribing practices to further standardize the implementation of the prescription audit, and medici ne , check with medicati on con fessed ; regular medical pers onnel rational drug knowledge training ; develop and implement sustainable quality improvement measures [Key w