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目的:分析麻醉药品、精神药品处方检查中不合格处方情况,为进一步规范处方书写和管理提供依据。方法:选择某军队医院2015年麻醉药品、精神药品16 523张处方,对其书写规范、用法用量、合理使用等要素进行全面检查,统计分析处方书写不合格、用法用量不当、阶梯用药不合理、处方选择不当等情况。结果:在16 523张麻醉药品、精神药品处方中,共发现不合格处方1045张,占整个处方的6.32%。在1045张不合格处方中,处方书写不规范568张(54.35%),用法用量不当224张(21.44%),阶梯用药不合理154张(14.74%),处方选择不当99张(9.47%)。结论:某军队医院麻醉药品、精神药品不合格处方较多,应采取措施加以纠正,以确保用药安全。
OBJECTIVE: To analyze the situation of unqualified prescriptions in the prescription examination of narcotic drugs and psychotropic drugs, and provide the basis for further standardizing the writing and management of prescriptions. Methods: A total of 16 523 prescriptions of narcotic drugs and psychotropic drugs were selected from a military hospital in 2015. Their prescriptions, usage and rational use were all checked. Statistical analysis showed that the prescription was not qualified, the usage and dosage were improper, Prescription inappropriate choice and so on. Results: In the prescription of 16,523 narcotic drugs and psychotropic drugs, 1045 unqualified prescriptions were found, accounting for 6.32% of the total prescriptions. Among the 1045 unqualified prescriptions, 568 (54.35%) were not standardized, 224 (21.44%) were improperly used, 154 (14.74%) were improperly used in steps, and 99 (9.47%) were improperly selected. Conclusion: There are many unqualified prescriptions for narcotic drugs and psychotropic drugs in a military hospital. Measures should be taken to correct them to ensure the safety of medication.