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目的:分析我院儿科说明书外用药的状况,促进我院小儿临床合理用药。方法:借助于大医通“处方审核与点评系统”软件并参照相关药品说明书的内容,对我院儿科2010年门诊和住院处方共800 219份进行调查分析。结果:药品说明书外用药处方1 947份,所占比例为2.42%,主要表现在超适应证处方42份(占2.2%)、超剂量处方39份(占2.0%)、超低年龄处方962份(占49.40%)、改变给药途径处方392份(占20.10%)等。结论:说明书外用药的情况在我院儿科也时有发生,使用过程中存在着医疗风险,应引起广大儿科医务工作者的高度重视。说明书外用药应掌握更多的循证医学证据,同时签署知情同意书,规避用药风险。
OBJECTIVE: To analyze the condition of external medicine in pediatric manual of our hospital and promote the rational use of medicine in our hospital. Methods: With the aid of Dafu Pharmacy Prescription Review and Evaluation System software and referring to the contents of related drug instruction manual, a total of 800 219 outpatient and inpatient prescriptions in pediatric department of our hospital were investigated and analyzed. Results: 1 947 prescriptions for external medicine were used in the manual, accounting for 2.42% of the total. Among the 42 prescriptions (2.2%), 39 (2.0%) were overdosed, 962 were ultra-low age prescriptions (Accounting for 49.40%), changing the route of prescription 392 (accounting for 20.10%) and so on. CONCLUSIONS: The condition of the manual for external use also occurs in pediatrics of our hospital from time to time. There are medical risks in the process of using it, which should attract the attention of the majority of pediatric medical workers. Instructions for external use drugs should have more evidence-based medicine, at the same time signed informed consent, to avoid medication risks.