我院门急诊中成药处方分析  

Analysis of Chinese Patent Medicine Prescriptions in Outpatient and Emergency Department

作　　者：李昂[1] 魏悦[1] 林宏[1] 孙燕燕[1] 

机构地区：[1]天津市儿童医院,天津300074

出　　处：《中国药房》2014年第31期2974-2976,共3页China Pharmacy

摘　　要：目的:为临床合理用药提供参考。方法:采用分层定比抽样法随机抽查我院2012年7月至2013年6月1 200张门急诊中成药处方,对其相关用药信息进行回顾性分析,并给予合理性评价。结果:(1)中医师开具中成药处方仅占13.4%,而其余处方均由西医师开具;(2)门急诊使用中成药的患儿年龄大多≤12岁,占98.9%;(3)193张中成药处方存在不合理用药现象,其中临床诊断不规范最多(占52.8%),其余为用法用量不适宜、剂量或给药途径不适宜等。结论:临床医师应加强对中成药的了解,药师与医师之间应加强沟通,从而保证临床用药安全、有效、合理。OBJECTIVE： To provide reference for rational drug use in the clinic. METHODS： 1 200 outpatient and emergency Chinese patent medicine prescriptions were randomly collected from our hospital during Jul. 2012-Jun. 2013 by using stratified proportional sampling method. The related information was analyzed retrospectively, and rationality of those prescriptions was evaluated. RESULTS： Only 13.4% Chinese patent medicine prescriptions were prescribed by TCM physician, and others were all prescribed by westem medicine physician; 98.9 % outpatient and emergency prescriptions were prescribed to children under 12 years old; irrational drug use was found in 193 prescriptions of Chinese patent medicine, of which non-standard diagnosis accounted for 52.8 % ; the others were unsuitable usage and dosage, irrational dosage and route of administration, etc. CONCLUSIONS：Clinicians should strengthen their knowledge on Chinese patent medicines and communication between pharmacist and physicians so as to ensure safe, effective and rational drug use in the clinic.

关 键 词：中成药 处方分析 不合理用药 

分 类 号：R286[医药卫生—中药学] R969.3[医药卫生—中医学]