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目的:评价某医院精神专科用药的合理性,促进临床合理用药。方法:随机抽取2010年1～12月每月600张门诊处方和50份出院病历,对不合理用药的情况进行统计评价和干预。结果:精神专科用药中仍存在一定的不合理性,包括用药与临床诊断不相符、用量用法不正确、过度联合用药、重复用药、配伍禁忌和潜在的不良反应风险等。结论:通过评价和干预,可减少医生用药的随意性、提高临床用药的水平,较好地保障患者用药安全、有效、经济。
Objective: To evaluate the rationality of psychiatric medication in a hospital and to promote the rational use of clinical medicine. Methods: A total of 600 outpatient prescriptions and 50 medical records were randomly collected from January to December in 2010, and statistical evaluation and intervention were conducted on irrational use of drugs. Results: There was still some irrationality in the psychiatric specialist medication, including incompatibility between medication and clinical diagnosis, incorrect usage of dosage, overdose, repeated medication, compatibility taboo and potential risk of adverse reactions. Conclusion: Through the evaluation and intervention, doctors can reduce the randomness of medication, improve the level of clinical medication, and better protect the patient medication safe, effective and economical.