某三甲中西医结合医院自制制剂定清片临床应用分析  

Review of clinical use of Dingqing Tablets in a Tertiary A Hospital of Integrated Traditional Chinese and Western Medicine

作　　者：徐熠[1] 杨月红 黄瑾 王婕[2] 刘静[1] 吴铁军[1] XU Yi;YANG Yuehong;HUANG Jin;WANG Jie;LIU Jing;WU Tiejun(Department of Pharmacy,Shanghai 200437 China;Hematology Department,Shanghai 200437 China;Department of Pharmacy,Longhua Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200032 China)

机构地区：[1]上海中医药大学附属岳阳中西医结合医院药学部,上海200437 [2]上海中医药大学附属岳阳中西医结合医院血液内科,上海200437 [3]上海中医药大学附属龙华医院药学部,上海200032

出　　处：《药学实践与服务》2023年第11期680-685,共6页Journal of Pharmaceutical Practice and Service

基　　金：上海市进一步加快中医药传承创新发展三年行动计划(ZY(2021-2023)-0203-03);上海申康医院发展中心临床科技创新项目(SHDC12021635);2018年上海市“医苑新星”青年医学人才培养资助计划-临床药师项目;2018年上海中医药大学第二批临床师资“优教”项目资助(新锐培训计划);中国药学会全国医药信息网2022年度科普研究重点项目(CMEI2022KPYJ00296);上海中医药大学第二十一期课程建设项目(No.2022SHUTCM 147)。

摘　　要：目的 对某三甲医院自制制剂定清片的门诊使用情况进行分析,提高处方质量,促进其合理使用。方法 从医院信息系统抽取2020年8月1日至2021年8月1日门诊药房患者处方共计4 796份,重点分析适应证、用法用量、药物的相互作用等。结果 定清片4 796处方中,使用科室涉及血液科、老年科等10个科室,不合理用药主要表现在药味叠加、中西药联用的相互作用等。结论 定清片临床使用广泛,疗效显著,但在使用中存在一定风险,应加大用药宣教和监管,促进临床安全合理用药。Objective To improve the quality of prescriptions and promote the rational drug application of Dingqing Tablets by investigating the outpatient prescriptions in a tertiary A hospital.Methods A total of 4796 prescriptions of outpatient pharmacy patients from August 1,2020 to August 1,2021 were extracted from the hospital information system by the hospital information software,focusing on the analysis of indications,usage and dosage,drug interaction,etc.Results 10 departments including hematology department and geriatrics department were used Dingqing Tablets,and the irrationality was mainly manifested in the superposition of drug flavors and drug interactions.Conclusion Dingqing tablets were widely used in clinic and had remarkable curative effect.However,there are certain risks in the use of Dingqing tablets.It is necessary to add medication education and supervision to promote the safe and rational use of drugs in clinic.

关 键 词：定清片 处方分析 合理用药 

分 类 号：R95[医药卫生—药学]