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目的探讨中药饮片的处方用药不合理状况及其对策。方法随机抽取2011年9月~2012年9月本院门诊1200张中药饮片处方,按照国家中医药管理局《中药处方格式及书写规范》以及《中国药典》中内容,对上述中药饮片处方进行统计学分析,找出中药饮片的处方用药不合理情况,并提出具体的解决对策。结果 1200张中药饮片处方用药中:临床诊断不规范102张,有毒中药饮片使用掌握不严格712张,单味药物超量应用322张及煎服方法有误115张。结论本院门诊中药饮片处方用药存在着一些不合理的情况,药师应肩负起仔细审查中药处方的职责,以降低中药饮片处方用药不合理率。
Objective To investigate the irrational prescriptions of Chinese Herbal Medicine and its countermeasures. Methods The prescriptions of 1,200 prescriptions of Chinese herbal medicine in our hospital were randomly selected from September 2011 to September 2012. According to the contents of the prescriptions and writing specifications of traditional Chinese medicine and Chinese Pharmacopoeia of the State Administration of Traditional Chinese Medicine, Analysis, to find out the irrational prescriptions of Chinese Herbal Pieces, and put forward specific solutions. Results The prescriptions of 1200 Chinese Herbal Medicine Pieces: 102 cases of non-standard clinical diagnosis, 712 cases of non-strict use of toxic Chinese herbal medicine, 322 cases of overdose of single drug and 115 cases of decoction. Conclusions There are some unreasonable prescriptions for Chinese medicine decoction in our hospital. Pharmacists should shoulder the responsibility of carefully examining the prescription of traditional Chinese medicine in order to reduce the unreasonable rate of prescription of traditional Chinese medicine.