我院门诊处方点评及用药分析  

Review of outpatient prescriptions in our hospital and medication analysis

作　　者：杨明 辜裕光 YANG Ming;GU Yu-guang(Shenzhen Second People＇ s Hospital, Shenzhen 518035, China)

机构地区：[1]深圳市第二人民医院,518035

出　　处：《中国现代药物应用》2018年第9期97-99,共3页Chinese Journal of Modern Drug Application

摘　　要：目的通过处方审核、处方分析、提高处方书写质量,促进合理用药。方法采用回顾性方法对本院2017年1~6月579308张门诊处方用药情况进行评价、分析。结果在抽取的579308张处方中,有5360张处方存在不合理现象,占0.92%。其中,不规范处方2242张,占不合理处方总数的41.83%;不适宜处方2914张,占不合理处方总数的54.37%;超常处方204张,占不合理处方总数的3.81%。2242张不规范处方中,处方书写不规范占不合理处方总数的10.49%,医生未签名占9.79%,剂量、规格、数量书写不规范占0.09%,用法用量使用含糊不清晰字句占0.21%,处方修改处未签名占1.47%,无诊断或诊断不全占14.44%,用药延长未注明理由占1.60%,麻、精药品使用不规范占0.65%,抗菌药物使用不规范占3.08%。2914张不适宜处方中,适应证不适宜占不合理处方的18.21%,药品不适宜占4.53%,剂型或给药途径不适宜占5.09%,无正当理由不首选国家基本药物占0.09%,用法、用量不适宜占25.02%,联合用药不适宜占0.91%,重复给药占0.39%,配伍禁忌或不良相互作用占0.02%;其他用药不适宜情况占0.09%。204张超常处方中,无适应证用药占不合理处方的3.41%,无正当理由超说明书用药占0.17%,无正当理由为同一患者同时开具3种以上药理作用相同药物占0.22%。结论本院门诊处方用药基本合理,但仍存在一定问题。处方点评是直接调查分析不合理用药的重要手段,应增强临床药师的作用,进一步促进临床合理用药。Objective To improve the quality of prescription writing by prescription examination,prescription analysis to promote rational medication. Methods A retrospective method was used to evaluate and analyze 579308 outpatient prescriptions in January^June 2017. Results Of the 579308 prescriptions, 5360 prescriptions were unreasonable, accounting for 0.92%. There were 2242 non - standard prescriptions, accounting for 41.83% of the total number of irrational prescriptions, 2914 unsuitable prescriptions, accounting for 54.37% of the total number of irrational prescriptions, 204 extraordinary prescriptions, accounting for 3.81% of the total number of irrational prescriptions. Of the 2242 non-standard prescriptions, 10.49% of the total number of irrational prescriptions were irregular writing, 9.79% were not signed by doctors, 0.09% were irregular writing of dosage, specification and quantity, 0.21% were ambiguous words and sentences in the usage and dosage, 1.47% were unsigned at the prescription revision, 14.44% without diagnosis or incomplete diagnoses, 1.60% were prolonged medication without giving reasons, 0.65% were irregular hemp and refined drugs, and 3.08% were irregular use of antibiotics. Of the 2914 unsuitable prescriptions, the indications were not suitable accounting for 18.21% of the irrational prescriptions, drugs were not suitable for 4.53%, the dosage form or the way of administration were not suitable for 5.09%. It is not preferred that the country’s essential drugs for 0.09%without proper reason, 25.02% were unsuitable usage and dosage, 0.91% were unsuitable combination drug, 0.39% were repeated administration, 0.02% were incompatibility or bad interaction, and 0.09% were other unsuitable drugs. Among the 204 extraordinary prescriptions, 3.41% of the irrational prescriptions were non indications, 0.17% were off-label drug use with no justifiable reasons, and 0.22% were prescription for the same patients with 3 or more same pharmacological actions with no justifiable reasons. Conclusion Th

关 键 词：门诊处方 处方点评 处方分析 

分 类 号：R95[医药卫生—药学]