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目的通过对医院门诊处方不合理用药情况分析,为门诊医师合理用药提供参考建议。方法收集医院2012年4月-2014年4月门诊处方共计3 200张,对其中的用药不适宜处方进行统计分析。结果筛查出不合理用药处方212张(6.63%)。主要包括:不合理的联合用药28.30%、用法用量不合理21.23%、选药不当15.09%、重复给药12.26%、无用药指征而使用抗菌药物6.60%、药理作用相互拮抗5.19%、适应证与用药不符3.31%、其他8.02%。结论临床医师要加强自身专业知识的学习,确保用药准确、合理,并且还要对患者进行用药指导,减少不合理用药的发生。
Objective To analyze the unreasonable use of prescriptions in outpatient clinics to provide reference for rational use of medicines by outpatients. Methods A total of 3 200 outpatient prescriptions were collected from April 2012 to April 2014 in the hospital, and statistical analysis was conducted on the unfit prescriptions. As a result, 212 irrational prescriptions (6.63%) were screened out. Including: unreasonable combination of 28.30%, the amount of irrational use of 21.23%, improper selection of 15.09%, repeated administration of 12.26%, no indication of the use of anti-bacterial drugs 6.60%, 5.19% antagonistic pharmacological effects, indications 3.31% and medication inconsistent, the other 8.02%. Conclusion Clinicians should strengthen their own professional knowledge of learning, to ensure accurate and reasonable medication, but also for patients with medication guidance to reduce the incidence of irrational use of drugs.