门急诊中药注射剂的合理用药分析  

Exploration on Rational Use of Traditional Chinese Medicine Injection by Analysis of Out-patient Prescriptions

作　　者：殷志萍[1] 李莉[1] 方忠宏[1] 

机构地区：[1]复旦大学附属金山医院,上海201508

出　　处：《中国药事》2014年第5期566-568,共3页Chinese Pharmaceutical Affairs

摘　　要：目的报告中药注射剂在门急诊的使用情况,分析其用药合理性及潜在危害。方法查阅我院2013-05-10门急诊病人中药注射剂用药情况,分析其用药的合理性及有潜害的药物配伍情况。参考标准为药物说明书的适应症、用量用法、禁忌及注意事项,《中药注射剂临床使用指导原则》及现有的安全合理用药知识。将中药注射剂与抗菌药物合用判为潜在危害。结果中药注射剂处方占门诊处方的0.67%,占儿科处方的10.3%,占急诊处方的7.9%。从较高水准的合理用药分析,门诊处方中药注射剂合理用药比为66.67%;急诊处方中药注射剂合理用药比为14.0%;儿科处方中药注射剂合理用药比为4.5%。结论中药注射剂不合理使用情况在急诊及儿科病人中较严重,需加强监管以避免药物损害(DII)事件的发生。Objective To investigate the prescription of traditional Chinese medicine injections in outpatient and emergency departments in order to analyze its rational use and potential hazards. Methods All prescriptions of out-patients on May 10th 2013 treated with traditional Chinese medicine injection in our hospital were reviewed. Rational use of traditional Chinese medicine injection and potential hazardous drug compatibility were analyzed with reference to standards including indications, dosage and administration of traditional Chinese medicine injection in package inserts; Clinical Guidelines for Traditional Chinese Medicine Injection and the present knowledge of safe and rational drug use. Results The proportion of traditional Chinese medicine injection prescriptions were 0. 67% in outpatient service, 10.3% in pediatric service, and 7.9% in emergency service. Rates of rational use of traditional Chinese medicine injection were 66.7% in routine service, 4.5% in pediatric service, 14.0% in emergency service. Conclusion The situation of irrational use of traditional Chinese medicine injection was serious in emergency and pediatric services, which must be regulated strictly in order to reduce traditional Chinese medicine injection induced injury.

关 键 词：中药注射剂 抗菌药物 医院用药调查 门诊合理用药 

分 类 号：R969.3[医药卫生—药理学]