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目的分析门诊处方不合理用药的现象。方法采用随机调查的方式对18873张处方进行调查,针对不合理处方进行分析。结果不合理处方共计485张(2.57%)。用法用量不当处方93张(19.18%),缺乏完整记录的处方54张(11.13%),用药与诊断不符的处方17张(3.51%),选药存在不合理的处方57张(11.75%),联合用药89张(18.35%),选药不合理43张(8.87%),其他不合理用药处方132张(27.22%)。结论经过研究分析得出,医院的门诊处方存在一定的不合理用药情况,其中用法用量不当、缺乏完整记录、联合用药、选药存在不合理方面的问题较为明显,应引起医生的注意,通过对医生的行为进行规范等方式,促进医生合理用药,改善处方用药不合理的现象。
Objective To analyze the phenomenon of unreasonable medication in outpatient prescriptions. Methods A total of 18,873 prescriptions were investigated by random survey and analyzed for unreasonable prescriptions. A total of 485 unreasonable prescriptions (2.57%). (19.18%), 54 prescriptions (11.13%) lacking a complete record, 17 prescriptions (3.51%) incompatible with the prescriptions, 57 (11.75%) prescriptions with unreasonable prescriptions, 89 tablets (18.35%), 43 tablets (8.87%) were irrational, and 132 tablets (27.22%) were irrational. Conclusions After research and analysis, it is concluded that outpatient prescriptions in hospitals have some irrational drug use cases. Among them, inappropriate dosage, lack of complete records, combined medication, and unreasonable drug selection problems are more obvious and should be noticed by doctors. Doctors conduct norms and other acts, to promote the rational use of medicine doctors to improve the irrational prescription medication phenomenon.