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目的了解省妇幼保健院门诊处方中不合理用药情况,为提高临床合理用药水平提供依据。方法随机抽取全院临床科室2007年1月～12月门诊西药处方10 000张逐一审查,对其中不合理用药处方进行分类统计分析。结果不合理用药处方合计732张(占7.32%),不合理用药主要表现在四个方面,根据处方数所占的比例,依次为:联合用药不合理229张(31.3%)、重复用药202张(27.6%)、选药不当166张(22.7%)、用法不合理135张(18.4%)。结论省保健院存在着一定程度的不合理用药现象,主要是因为某些临床医师对合理用药的认识存在局限性,以及某些药剂人员的业务水平不高所致。临床医师与药师均应努力学习,并加强两者之间的沟通与协调,有效的避免不合理用药现象的发生,确保患者用药的安全有效。
Objective To understand the situation of irrational drug use in outpatient prescriptions in Provincial Maternal and Child Health Hospital and provide basis for improving the clinical rational drug use. Methods A total of 10 000 outpatient western medicine prescriptions were randomly selected from the clinical departments of the hospital from January 2007 to December 2007, and the unreasonable prescriptions were classified and analyzed statistically. Irrational use of prescriptions Total 732 prescriptions (7.32%), irrational use of drugs mainly in four aspects, according to the proportion of the number of prescriptions, followed by combination of irrational 229 (31.3%), 202 repeated medication (27.6%), improper drug selection 166 (22.7%), unreasonable usage 135 (18.4%). Conclusion There is a certain degree of irrational drug use in provincial health centers, mainly due to the limitations of some clinicians’ understanding of rational drug use and the low level of business of some pharmacy staff. Clinicians and pharmacists should work hard to learn and strengthen the communication and coordination between the two to effectively prevent the occurrence of irrational drug use and ensure the safety and effectiveness of medication for patients.