中药处方点评在中药饮片合理使用中的干预效果分析  

Analysis of the intervention effect of Chinese medicine prescription comment in the rational use of Chinese herbal slices

作　　者：林云刚[1] LIN Yun-gang(Xuyi County Hospital of Traditional Chinese Medicine,Huaian 211700,China)

机构地区：[1]盱眙县中医院,211700

出　　处：《中国现代药物应用》2023年第3期161-164,共4页Chinese Journal of Modern Drug Application

摘　　要：目的 探讨中药处方点评在中药饮片合理使用中的干预效果。方法 选取中药处方点评实施前(2020年1~12月)中药处方2150张,实施后(2021年1~12月)中药处方2213张。比较中药处方点评实施前后不合理用药发生率及医患纠纷发生率。结果 中药处方点评实施前,用药禁忌占0.93%、大处方用药占1.30%、用法用量异常占0.79%、重复用药占0.84%、诊断与用药不符占1.67%、配伍禁忌占0.93%、处方脚注问题占0.47%,不合理用药发生率为6.93%;中药处方点评实施后,用药禁忌占0.23%、大处方用药占0.23%、用法用量异常占0.09%、重复用药占0.18%、诊断与用药不符占0.81%、配伍禁忌占0.14%、处方脚注问题占0.14%,不合理用药发生率为1.81%。中药处方点评实施后不合理用药发生率低于实施前,差异有统计学意义(P<0.05)。中药处方点评实施后医患纠纷发生率为0.09%(2/2213),低于实施前的0.47%(10/2150),差异有统计学意义(P<0.05)。结论 实施中药处方点评可规范处方管理,提高处方质量,促进合理用药。Objective To discuss the intervention effect of Chinese medicine prescription comment in the rational use of Chinese herbal slices. Methods 2150 Chinese medicine prescriptions before the implementation of the Chinese medicine prescription comment(January to December 2020) and 2213 Chinese medicine prescriptions after the implementation(January to December 2021) were included in the study. The incidence of irrational drug use and the incidence of doctor-patient disputes before and after the implementation of Chinese medicine prescription comment were compared. Results Before the implementation of Chinese medicine prescription comment, contraindications accounted for 0.93%, large prescriptions accounted for 1.30%,abnormal dosage accounted for 0.79%, repeated drug use accounted for 0.84%, inconsistency between diagnosis and drug use accounted for 1.67%, contraindications for compounding accounted for 0.93%, prescription footnote problems accounted for 0.47%, and the incidence of irrational drug use was 6.93%. After the implementation of Chinese medicine prescription comment, the contraindications accounted for 0.23%, large prescriptions accounted for 0.23%, abnormal dosage accounted for 0.09%, repeated drug use accounted for 0.18%, inconsistency between diagnosis and drug use accounted for 0.81%, contraindication for compounding accounted for 0.14%, prescription footnote problem accounted for 0.14%, and the incidence of irrational drug use was 1.81%. The incidence of irrational drug use after implementation of Chinese medicine prescription comment was lower than that before implementation of Chinese medicine prescription comment, and the difference was statistically significant(P<0.05). The incidence of doctor-patient disputes was 0.09%(2/2213) after implementation of Chinese medicine prescription comment, which was lower than 0.47%(10/2150) before implementation of Chinese medicine prescription comment, and the difference was statistically significant(P<0.05). Conclusion Chinese medicine prescription comment can st

关 键 词：中药饮片 处方点评 合理用药 处方管理 干预效果 

分 类 号：R288[医药卫生—中药学]