住院医嘱用药点评模式的实践与评价  

Practice and Evaluation on the Review Mode on the Inpatient Prescriptions

作　　者：黄琪[1] 盛朝晖[1] 刘海玲[1] 彭洋[1] 

机构地区：[1]湖南省马王堆医院药剂科,长沙410016

出　　处：《中国医院用药评价与分析》2014年第10期940-942,共3页Evaluation and Analysis of Drug-use in Hospitals of China

摘　　要：目的：探索住院医嘱点评的模式，促进临床合理用药。方法：根据典型问题，确定医嘱专项点评主题，对湖南省马王堆医院（简称“我院”）2012年10月-2014年3月住院病区用药医嘱进行抽样点评。结果：点评病区病例785份，医嘱书写规范率为91．2l％，用药合理率为81．78％；老年患者平均年龄79．80岁，用药6～47种，使用注射剂0～28种，平均用药19．03种，平均使用注射剂8．30种；清洁手术抗菌药物使用率为39．52％，平均使用2．16d。结论：住院患者用药总体情况较好，用药点评模式有待进一步完善。OBJECTIVE： To explore the review mode on the inpatient prescriptions in hospital so as to promote rational use of drugs. METHODS： The subject of the prescription review was established based on the typical problems, and the inpatient prescriptions sampled from October in 2012 to March in 2014 in Hunan Mawangdui Hospital （＂ our hospital ＂） were reviewed. RESULTS： Of the total of 785 inpatient cases reviewed, standard prescription writing was noted in 91.21% and rational use of drugs in 81.78%. The mean age of the elderly patients was 79. 80 years; 6-47 drugs and 0-28 kinds of injections were used, with an average of 19.03 kinds of drugs and 8.30 kinds of injections used. The antibiotics were used in 39.52% of the patients undergoing aseptic surgery for an average of 2. 16 days. CONCLUSIONS： The inpatient drug use is rational on the whole yet the review mode on prescriptions needs to be further improved.

关 键 词：住院医嘱 着处方点评 合理用药 

分 类 号：R969.3[医药卫生—药理学]