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目的:规范门诊中成药处方,指导临床合理使用中成药。方法:对我院2011年中成药的用药频度及抽查的29 593张门诊中成药处方进行分析,对不合理用药情况进行统计分析。结果:不合理用药处方355张,占总数的1.2%。不合理用药情况涉及无医师签章、处方未写诊断、药品用量不规范、适应证和遴选药物不适宜、用法用量频率不适宜、重复给药、配伍禁忌相互作用等。结论:加强处方定期检查和质量监督,提高处方质量,保证患者用药的安全和经济。
Objective: To standardize prescriptions for proprietary Chinese medicines and guide the rational use of proprietary Chinese medicines in clinical practice. Methods: The frequency of medication of Chinese patent medicine in 2011 in our hospital and the sample of 29 593 outpatient proprietary Chinese medicines in spot check were analyzed, and the statistical analysis was made on the irrational use of medicine. Results: 355 irrational prescriptions, accounting for 1.2% of the total. Unreasonable drug use involves the signature without physician, the prescription is not written diagnosis, the dosage of drugs is not standardized, indications and selection of drugs is not appropriate, the usage dosage is not appropriate, repeated administration, incompatibility compatibility and so on. Conclusion: To strengthen regular prescription examination and quality control, improve the quality of prescriptions and ensure the safety and economy of patients’ medication.