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目的:分析住院病人医嘱不合理用药的情况,提高临床合理用药水平。方法:根据对出院病人病例的审查及分析情况,回顾性分析不合理用药情况,进行统计、总结。结果:通过对4 580例病例的检查,4.1%病例出现不合理用药情况,出现原因主要有无指征用药、抗菌药应用不当、注射液溶媒应用不当、用药不在适应证范围内、重复用药、给药疗程不当、存在配伍禁忌。结论:临床用药仍存在不合理用药现象,需要进一步规范。应针对存在的问题制订相应措施,以提高患者的用药安全。
Objective: To analyze the case of unreasonable use of medical advice by inpatients and to improve the clinical reasonable medication level. Methods: Based on the review and analysis of discharged patients, retrospective analysis of irrational drug use, statistics, summary. Results: According to the examination of 4 580 cases, 4.1% of the cases showed irrational drug use, the main reasons were whether the indications were used, improper use of antimicrobial agents, improper use of injection solvent, medication was not within the scope of indications, repeated medication, Improper medication, there are incompatibilities. Conclusion: There is still irrational drug use in clinical medication, which needs further specification. Corresponding measures should be formulated for the existing problems so as to improve the medication safety of the patients.