3000张儿童医院门诊中成药处方用药调查分析  

Investigation and Analysis of 3000 Prescriptions of Chinese Patent Medicine in Children's Hospital

作　　者：郭菡 段彦彦[1] 裴保方 GUO Han;DUAN Yanyan;PEI Baofang(Dept. of Pharmacy, Children's Hospital Affiliated of Zhengzhou University/Henan Children's Hospital/Zhengzhou Children's Hospital,Henan Zhengzhou 450053, China)

机构地区：[1]郑州大学附属儿童医院/河南省儿童医院/郑州儿童医院药学部,河南郑州450053

出　　处：《中国医院用药评价与分析》2020年第5期603-605,共3页Evaluation and Analysis of Drug-use in Hospitals of China

摘　　要：目的:调查儿童医院门诊处方中成药临床应用存在的问题,为临床合理用药提供依据,保障患儿用药安全。方法:通过医院信息系统,筛选2019年1—6月郑州大学附属儿童医院/河南省儿童医院/郑州儿童医院(以下简称“我院”)门诊中成药处方3000张,对中成药使用情况进行统计,结合药品说明书及相关临床指南、专家共识对中成药临床应用合理性进行评价。结果:我院3000张门诊中成药处方中,患儿年龄主要集中于<6岁(2431张,占81.03%);中成药品种以清热解毒、止咳化痰类药物为主,人均使用中成药1.33种;单张处方中开具的中成药品种数方面,以开具1种中成药为主(1871张,占62.37%),同时开具2种中成药的处方占33.07%(992张);处方数排序居前3位的科室为急诊科、普通内科和耳鼻喉科,中医科仅居第4位(245张,占8.17%);不合理处方186张,不合理率为6.20%,主要涉及用法与用量不适宜,其余包括重复用药、适应证不适宜等。结论:我院门诊中成药的临床应用存在不合理现象,临床医师应加强中医药理论知识的学习,开具中成药处方时应遵循“辨证施治”原则;同时,行政管理部门应加强规范中成药的处方管理,保证患儿用药安全。OBJECTIVE:To investigate the problems in the clinical application of Chinese patent medicine in outpatient of children's hospital,so as to provide evidence for clinical rational drug use and ensure the safety of drug use for children.METHODS:Totally 3000 prescriptions of Chinese patent medicine in outpatient of Children's Hospital Affiliated of Zhengzhou University/Henan Children's Hospital/Zhengzhou Children's Hospital(hereinafter referred to as“our hospital”)were extracted from Jan.to Jun.2019 by hospital information system.The clinical application of Chinese patent medicine was statistically analyzed.The rationality of the clinical application of Chinese patent medicine was evaluated in combination with drug instructions,relevant clinical guidelines and expert consensus.RESULTS:Of the 3000 outpatient prescriptions,the age of children was mainly less than 6 years old(2431 pieces,81.03%).The main varieties of Chinese patent medicine were drugs for clearing heat and detoxifying,relieving cough and resolving phlegm,and 1.33 kinds of Chinese patent medicine were used per capita.In terms of the number of Chinese patent medicine issued in the single prescription,1 kind of Chinese patent medicine was the main prescription(1871 pieces,62.37%),while the prescription of 2 kinds of Chinese patent medicine accounted for 33.07%(992 pieces).The top three departments ranked by number of prescriptions were emergency department,general internal medicine department and otolaryngology department,while the traditional Chinese medicine department ranked the fourth(245 pieces,8.17%).There were 186 pieces of irrational prescriptions,with the irrational rate of 6.20%,mainly for improper usage and dosage,repeated use of drugs and inappropriate indications.CONCLUSIONS:The clinical application of Chinese patent medicine in the outpatient department of our hospital was irrational.Clinicians should strengthen the study of theoretical knowledge of traditional Chinese medicine and follow the principle of syndrome differentiation and trea

关 键 词：儿童 中成药 合理用药 调查分析 

分 类 号：R932[医药卫生—生药学]