止咳祛痰药处方分析  

Analysis of the prescription of cough remedy and expectorant

作　　者：吴惠妃[1] 叶晓芬[2] 金美玲[3] 蔡映云[4] 

机构地区：[1]广州中医药大学附属中山医院药剂科,中山528400 [2]复旦大学附属中山医院药剂科,上海200032 [3]复旦大学附属中山医院呼吸科,上海200032 [4]复旦大学附属中山医院老年病科,上海200032

出　　处：《上海医药》2011年第9期421-424,共4页Shanghai Medical & Pharmaceutical Journal

摘　　要：本文通过对具体病例的分析,指出临床上止咳祛痰药不合理应用的表现,主要包括:1)不符合疾病的特点,如咳嗽的病因、诱因、病理生理、并发症和症状等;2)不符合患者的特点,如患者的生理特征(年龄、性别、妊娠、哺乳等)、职业、伴发症、伴随用药、不良反应史和人文背景等;3)不符合药物的特点,如药物的适应证、禁忌证、药动学、药剂学、不良反应、相互作用和药学监护结果等。临床医师和药师在制定药物治疗方案时应充分考虑这些因素,使药物治疗更加合理。To discuss the non-rational use of cough remedy and expectorants by analysis of the specific case. Analysing non-rational use of the drag based on： 1） The prescription does not fit for the disease, especially the etiology of cough and characteristics of cough and sputum ; 2） The prescription does not fit for the physiological and pathological features of patients ; 3） The prescription does not fit for the characters of drugs such as mechanisms, pharmacodynamics, pharmacokinetics, efficacy, adverse reactions and drug interactions. Physicians and pharmacists should consider more about the factors above mentioned so as to improve the level for rational drug use.

关 键 词：处方分析 止咳药 祛痰药 不合理用药 

分 类 号：R974[医药卫生—药品] R969.3[医药卫生—药学]