320张中成药退药处方分析  

Analysis of 320 Prescriptions Involved Repercussion of Chinese Patent Medicine

作　　者：张立海[1] 张呈[1] 

机构地区：[1]卫生部北京医院药学部,北京市100730

出　　处：《中国药房》2007年第27期2157-2158,共2页China Pharmacy

摘　　要：目的:分析门诊中成药退药原因。方法:收集退药处方320张,按7种不同原因进行分类分析。结果:1年内共调配中成药处方36.07万张,其中退药处方320张,占总处方量的0.088%;退药原因依次为:不良反应、服药禁忌、开错药品、重复开药、调整治疗方案、处方超量、其他。退药涉及科室依次为:内科(91张)、骨科(66张)、中医科(42张)、外科(28张)、神经科(19张)、皮肤科(12张)、妇科(11张)。结论:有关科室及人员应采取有效措施加强处方管理,提高处方和审方质量,更好地开展药学服务。OBJECTIVE： To analyze the reasons for repercussion of Chinese patent drugs in dispensary for outpatients. METHODS： A total of 320 prescriptions were collected, and which were subjected to a classified analysis according to 7 different reasons. RESULTS： A total of 360 700 prescriptions of Chinese patent medicine were dispensed in a year, of which 320 （0.088%） involved drug repercussion, which were chiefly caused by adverse drug reactions （ADRs）, administration con- traindication, wrong prescribed drugs, repeated prescribing of the same drugs, adjustment of treatment prescriptions, and overdose etc. And the departments with drug repercussion included departments of internal medicine （91 prescriptions）, orthopaedics （66）, TCM （42）, surgery （28）, neurology （19）, dermatology （12）, and gynecology （11）. CONCLUSION： Mea- sures should be taken to strengthen management on prescriptions so as to improve the quality of prescriptions and prescription examination quality and to provide a better pharmaceutical care.

关 键 词：退药 处方分析 中成药 

分 类 号：R288[医药卫生—中药学] R952[医药卫生—中医学]