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目的:分析探讨胃肠道疾病中药合理用药的重要性,为中医临床合理用药提供科学根据。方法:对我院消化内科的中药临床用药情况进行分析与总结,从给药途径、用药剂型、不良反应等角度探讨合理用药的重要性,并对发生的不合理用药情况进行统计。结果:胃肠道疾病的中药不合理用药情况主要可分为药品炮制不当、药物剂量使用过大、配伍应用不当、药品用法不当等。其中,静脉注射液不合理用药的比例最高,占60.0%,其次为口服药、肌肉注射药、外用药。不合理用药造成的不良反应主要有皮肤过敏、消化道出血、肾功能异常以及呼吸困难等。结论:在采用中药治疗胃肠道疾病时,应注意严格遵守合理用药的要求,避免不合理用药对患者造成不良反应,提高治疗效果。
Objective: To analyze the importance of rational use of traditional Chinese medicine in gastrointestinal diseases and provide scientific basis for clinical rational use of traditional Chinese medicine. Methods: To analyze and summarize the clinical use of traditional Chinese medicine in our department of gastroenterology, discuss the importance of rational use of medicine from the aspects of administration route, dosage form and adverse reaction, and make statistics on the irrational use of drugs. Results: The irrational use of traditional Chinese medicine in gastrointestinal diseases can be divided into improper preparation of medicines, overdosage of drugs, improper compatibility and improper use of medicines. Among them, intravenous injection of irrational drug use the highest proportion, accounting for 60.0%, followed by oral, intramuscular injection, external use. Adverse reactions caused by irrational use of drugs are mainly skin allergies, gastrointestinal bleeding, renal dysfunction and breathing difficulties. Conclusion: In the use of traditional Chinese medicine treatment of gastrointestinal diseases, should pay attention to strict compliance with the requirements of rational use of drugs, to avoid irrational use of drugs caused adverse reactions to patients and improve the therapeutic effect.