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目的:对我院住院处方点评及用药合理性情况进行回顾性分析,促进临床合理用药。方法:在兴宁市中医医院2013年1月-2014年10月期间的住院处方中抽取49 128张,针对处方各项展开统计学分析,总结其中不合理用药现象。结果:在抽查的49 128张住院处方中,合格的处方共有47 506张,不合格处方共有1 622张,占抽查处方总数的3.30%。不合格处方中各不合理用药类型按所占比例从高到低依次为给药次数不合理(37.731%)、选药不合理(20.592%)、给药时间不准确(13.379%)、无指征联合用药(12.084%)结论:我院住院处方用药基本合理,但始终存在一定问题,临床药师点评是对不合理用药进行调查分析的一种重要手段,总之,在临床用药工作中应不断加强临床药师的作用,促进临床合理用药。
OBJECTIVE: To retrospectively review the hospital prescriptions and rationality of medication in our hospital so as to promote the rational use of clinical medicine. METHODS: A total of 49 128 in-hospital prescriptions were collected from Xingning Hospital of Traditional Chinese Medicine from January 2013 to October 2014. Statistical analyzes were carried out on the prescriptions to summarize the irrational use of drugs. Results: Of the 49,128 inpatient checks randomly selected, there were 47,506 eligible prescriptions and 1 622 unqualified prescriptions, accounting for 3.30% of the total number of spot checks. Unqualified prescriptions in all types of irrational drug types according to the proportion of descending order of the number of unreasonable administration (37.731%), the irrational drug selection (20.592%), the time of administration is not accurate (13.379%), no finger (12.084%) Conclusion: Our hospital inpatient prescription medication is reasonable, but there are always some problems, clinical pharmacists review is an irrational drug investigation and analysis of an important means, in short, should continue to strengthen the clinical use of drugs The role of clinical pharmacists to promote clinical rational use of drugs.