2017-2021年湛江中心人民医院门诊药房中成药使用情况调查及不合理处方的帕累托图分析  

2017-2021 investigation on the use of traditional Chinese patent medicines and simple preparations in outpatient pharmacy of Zhanjiang Central People’s Hospital and Pareto chart analysis of unreasonable prescriptions

作　　者：吴玉秀[1] 李少婷[1] 余小雁[1] 林羽慧[1] 钟邱[1] 张永芳 Wu Yuxiu;Li Shaoting;Yu Xiaoyan;Lin Yuhui;Zhong Qiu;Zhang Yongfang(Zhanjiang Central People’s Hospital,Zhanjiang,Guangdong 524300,China)

机构地区：[1]广东省湛江中心人民医院,广东湛江524300

出　　处：《首都食品与医药》2025年第9期71-73,共3页Capital Food Medicine

基　　金：湛江市科技计划项目(编号:2023B01055)。

摘　　要：目的 本研究旨在调查并分析2017-2021年湛江中心人民医院门诊药房中成药使用情况,识别不合理处方问题,并通过帕累托图分析找出主要问题,为中成药合理使用提供参考。方法 采用回顾性调查法,收集2017-2021年期间湛江中心人民医院门诊药房的中成药处方数据,分析处方中不合理用药的种类、原因及发生频率。结合帕累托图分析法,识别出不合理处方问题的主要类别,并计算各问题的占比和累积占比。结果 研究结果表明,中成药不合理处方率由2017年的15.81%(471/2980)降至2021年的8.26%(205/2483),差异有统计学意义(χ^(2)=15.324,P<0.05)。15963例中成药处方中不合理处方共1890例,占11.84%。主要问题依次为超适应证用药765例(40.5%)、重复用药478例(25.3%)、剂量不合理353例(18.7%),三者累积占比达84.5%。不合理处方主要集中于内科(15.57%)与外科(15.55%)。结论 中成药使用中存在一定比例的不合理处方,需加强医务人员的合理用药培训,完善处方审核机制,提高中成药使用的安全性和有效性。Objective This study aims to investigate and analyze the use of traditional Chinese patent medicines and simple preparations in the outpatient pharmacy of Zhanjiang Central People’s Hospital from 2017 to 2021,identify unreasonable prescription problems,and find out the main problems through Pareto chart analysis,so as to provide reference for the rational use of traditional Chinese patent medicines and simple preparations.Methods Retrospective investigation was used to collect the prescription data of traditional Chinese patent medicines and simple preparations in the outpatient pharmacy of Zhanjiang Central People’s Hospital from 2017 to 2021,and analyze the types,causes and frequency of irrational drug use in the prescription.Using Pareto chart analysis,identify the main categories of unreasonable prescription problems and calculate the proportion and cumulative proportion of each problem.Results The study results indicate that the rate of irrational prescriptions for Traditional Chinese Medicine(TCM)decreased from 15.81%(471/2980)in 2017 to 8.26%(205/2483)in 2021,with a statistically significant difference(χ^(2)=15.324,P<0.05).Among the 15963 TCM prescriptions,1890 were found to be irrational,accounting for 11.84%.The main issues identified were as follows:inappropriate use for indications in 765 prescriptions(40.5%),duplicate prescriptions in 478 cases(25.3%),and incorrect dosage in 353 prescriptions(18.7%),with these three issues collectively accounting for 84.5%.Irrational prescriptions were mainly concentrated in the departments of internal medicine(15.57%)and surgery(15.55%).Conclusion There is a certain proportion of irrational prescriptions in the use of traditional Chinese patent medicines and simple preparations.It is necessary to strengthen the training of medical personnel on rational drug use,improve the prescription review mechanism,and improve the safety and effectiveness of traditional Chinese patent medicines and simple preparations use.

关 键 词：中成药 不合理处方 帕累托图分析 药学服务 

分 类 号：R969.3[医药卫生—药理学]