上海市崇明区6家基层医院理血剂处方合理性分析  

Rational Analysis of the Prescription Containing Blood-Regulating Agents in Six Primary Hospitals in Chongming District of Shanghai

作　　者：余星星 顾柳华 岳德永 黄欢 沈贤 YU Xingxing;GU Liuhua;YUE Deyong;HUANG Huan;SHEN Xian(Chongming Branch of Shanghai Tenth People's Hospital,Shanghai,China 202157;Chongming Hospital Affiliated to Shanghai University of Medicine and Health Sciences,Shanghai,China 202150)

机构地区：[1]上海市第十人民医院崇明分院,上海202157 [2]上海健康医学院附属崇明医院,上海202150

出　　处：《中国药业》2024年第9期40-44,共5页China Pharmaceuticals

基　　金：上海市崇明区创新创业人才项目[2020-13]。

摘　　要：目的分析上海市崇明区6家基层医院理血剂的用药合理性。方法抽取上海市崇明区6家基层医院医院信息系统2021年6月至2022年5月用药频度排前10位的理血剂门诊处方7200张,根据相关指南和药品说明书进行处方点评与合理性分析。结果7200张处方中,疾病诊断主要为冠状动脉粥样硬化性心脏病(54.86%),其次为脑梗死(51.90%),再次为高血压(38.93%);与10种理血剂联用最多的中成药为血塞通(片/胶囊,2.81%),化学药品为阿司匹林肠溶片(11.82%)。按每种理血剂出现频次统计,涉及处方8184张,给药疗程集中于<2~>5周(65.42%)。不合理处方1099张,处方不合理率为15.26%;不合理问题出现总频数为1148张。其中,通心络胶囊、银杏叶(片/胶囊)、脑心通胶囊的不合理处方数排前3,分别占16.11%,14.63%,12.02%。不适宜处方中,不适宜问题出现频数为848张。其中,给药疗程不适宜272张(32.08%),联合用药不适宜252张(29.72%),重复给药210张(24.76%)。结论上海市崇明区6家基层医院理血剂门诊处方合理率有待提高。建议通过建立统一的处方点评标准,建设区域性处方审核中心,对全科医师加大中医药知识培训力度等途径,促进理血剂的合理应用。Objective To analyze the rational use of blood regulating agents in six primary hospitals in Chongming District of Shanghai.Methods A total of 7200 outpatient prescriptions containing blood-regulating agents with top 10 medication frequency in the hospital information system of six primary hospitals in Chongming District of Shanghai from June 2021 to May 2022 were selected.Prescription reviews and rationality analysis were conducted based on relevant guidelines and drug instructions.Results Among 7200 prescriptions,the main diagnosed diseasse was coronary heart disease(54.86%),followed by cerebral infarction(51.90%)and hypertension(38.93%).The most commonly used traditional Chinese patent drug in combination with 10 blood-regulating agents was Xuesaitong Tablets/Capsules(2.81%),and the chemical drug was Aspirin Enteric-Coated Tablets(11.82%).According to the frequency of appearance of each blood-regulating agent,there were 8184 prescriptions involved,and the duration of administration was mainly concentrated for longer than two weeks,but shorter than five weeks(65.42%).Among the 7200 prescriptions,1099 prescriptions were irrational,with a irrational rate of 15.26%,and the total frequency of irrational problems occurred in 1148 prescriptions.Among them,the irrational prescriptions of Tongxinluo Capsules,Ginkgo Biloba Leaves Extract(Tablets/Capsules),and Naoxintong Capsules ranked among the top three,accounting for 16.11%,14.63%,and 12.02%,respectively.Among the inappropriate prescriptions,the inappropriate problems were occurred in 848 prescriptions,of which 272 prescriptions(32.08%)were inappropriate duration of medication,252 prescriptions(29.72%)were inappropriate combination of medication,and 210 prescriptions(24.76%)were repeated medication.Conclusion The rational rate of outpatient prescriptions containing blood-regulating agents in six primary hospitals in Chongming District of Shanghai needs to be further improved.The rational drug use of prescriptions containing blood-regulating agents should be promoted

关 键 词：理血剂 基层医院 处方点评 合理性 上海市崇明区 

分 类 号：R932[医药卫生—生药学] R288[医药卫生—药学]