骨科医院中药注射剂处方点评与分析  

Review and Analysis of Traditional Chinese Medicine Injection Prescription in Orthopedic Hospital

作　　者：谢扬帆[1] 张虹 XIE Yang-fan;ZHANG Honge(Hunan University of Traditional Chinese Medicine,Changsha,Hunan Province,410205 China;Luoyang Zhenggu Hospi-tal of Henan Province（Henan Provincial Orthopaedic Hospital）,Luoyang,Henan Province,471002 China)

机构地区：[1]湖南中医药大学,湖南长沙410205 [2]河南省洛阳正骨医院(河南省骨科医院),河南洛阳471002

出　　处：《中国卫生产业》2018年第31期87-88,92,共3页China Health Industry

基　　金：2017年河南省中医药科学研究专项课题(2017ZY2089);2016年河南省中医药科学研究专项课题(2016ZY 3022):全国中药特色技术传承人才培训项目(国中医药人教函[2015]168号)

摘　　要：目的为促进医院合理使用中药注射剂提供参考。方法随机抽取医院静脉药物配置中心(PIVAS)2017年含中药注射剂的处方600条,对适应证、用量、疗程、溶剂选择及重复用药等进行回顾性点评与分析。结果 600张中药注射剂处方中,不合理处方81张。其中,适应证不适宜45张(55.56%)、剂量不适宜17张(20.99%)、重复用药14张(17.28%)、疗程不适宜9张(11.11%)。结论临床药师应积极主动地对不合理中药注射剂处方进行干预,对发生的不合理用药给予总结,避免再次发生。Objective To provide reference for promoting the rational use of traditional Chinese medicine injections in hos- pitals. Methods A total of 600 prescriptions containing Chinese medicine injections were randomly selected from the Hospi- tal Intravenous Drug Distribution Center （PIVAS） in 2017. The indications, dosage, course of treatment, solvent selection and repeated drug use were retrospectively reviewed and analyzed. Results Of the 600 Chinese medicine injections, 81 were unreasonable. Among them, the indications were not suitable for 45 （55.56%）, the dose was not suitable for 17（20.99%）, the repeated medication was 14（17.28%）, and the course of treatment was not suitable for 9（11.11%）. Conclusion Clinical phar- macists should actively intervene in the prescription of irrational Chinese medicine injections, and summarize the occur- rence of irrational medications to avoid recurrence.

关 键 词：中药注射剂 处方点评 合理用药 

分 类 号：R286[医药卫生—中药学]