2009年中药房门诊处方中不合理用药分析  

Analysis of irrational prescriptions of outpatients in traditional Chinese medicine pharmacyAnalysis of irrational prescriptions of outpatients in traditional Chinese medicine pharmacy

作　　者：李金斌[1] 张艳秀[1] 刘萍[1] 

机构地区：[1]解放军总医院药品保障中心,北京100853

出　　处：《中国医药》2011年第8期962-963,共2页China Medicine

摘　　要：目的 分析我院中药房中成药不合理用药情况,为提高处方质量提供参考.方法 抽取2009年1-12月中药房中成药处方6000张,根据〈处方管理办法〉、药品的说明书、临床药理学知识,判断处方的不合理用药情况并进行归类分析.结果 不合理用药处方344张,不合格率为5.73%.在不合格处方的类别中用药与诊断不符的比例为35.76%（123/344）,明显高于其他类别,中成药处方中的2.05%（123/6000）存在用药与诊断不符的问题.无临床诊断56张,占不合格处方的16.28%;由处方超量引起的不合格处方为78例,其发生率占不合格处方总数的22.67%;给药途径不合理出现比例较低,为0.25%（15/6000）,占不合格处方的4.36（15/344）;重复用药率为0.48%（29/6000）,占不合格处方的8.43%（29/344）;配伍禁忌为0.15%（9/6000）,占不合格处方的2.62%（9/344）.结论 我院中药房中成药处方使用基本合理,但仍存在问题,需医师和药师共同努力进一步改善和提高.Objective To investigate the prescriptions of Chinese Patent Medicine in traditional Chinese medicine pharmacy to improvive the quality of prescription. Methods A total of 6000 prescriptions were reviewed in 2009. The irrational prescriptions were sorted and analyzed according to Prescription Management Policy, the label of medicine and the knowledge of clinical pharmacology. Results Of all the prescriptions reviewed, there were 344 irrational prescriptions and the rate of irrational prescription was 5. 73%. One hundred and twenty-three prescriptions （35.76%） were unmatched between drug usage and diagnosis and this rate was 2.05% in terms of all the prescriptions. Fifty-six prescriptions （16. 28%） had no clinical diagnosis. Seventy-eight prescriptions （22.67%） had over dosage. Fifteen prescriptions（4.36%） were involved irrational route of administration and 29 prescriptions （8.43%） were involved repeated drug use. Nine prescriptions（2.62%） were contraindication. Conclusions The drug use in the outpatient is basically rational and still needs to be improved.

关 键 词：合理用药 中成药 门诊处方 处方分析 

分 类 号：R969.3[医药卫生—药理学]