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目的通过临床处方分析不合理用药情况,并提出规范临床用药的措施。方法随机抽查天津市某医院处方单1000张,就其用药情况进行统计分析。结果在1000份病历处方中有54张处方存在不合理用药情况,占总数的5.4%。主要表现在重复用药、选药不合理、药物剂量过大、药物用法不正确、配伍不当等几个方面。结论应积极推广临床药学工作,提高临床药学服务质量,同时加强对医师的药品知识培训并对医生处方采取严格管理,以规范临床合理用药。
Objective To analyze the irrational use of drugs through clinical prescriptions and to put forward measures to standardize clinical drug use. Methods A random sample of a hospital in Tianjin, a prescription of 1000, on the use of drugs for statistical analysis. Results There were 54 prescriptions in 1000 medical records with irrational drug use, accounting for 5.4% of the total. Mainly in the repeated use of drugs, drug unreasonable, excessive drug dosage, drug usage is not correct, improper compatibility, and several other aspects. Conclusion Clinical pharmacy should be actively promoted to improve the quality of clinical pharmacy services. At the same time, doctors’ knowledge of medicines should be strengthened and strict prescriptions should be taken on prescriptions to standardize the rational use of medicines.