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目的:了解门诊中不合理用药处方情况,以促进和提高门诊合理用药水平。方法:随机抽查门诊中2008年全年处方21752张,对不合理用药情况如重复用药、诊断与用药不符、溶媒选用不当、用法用量不当、配伍禁忌、联合用药不合理、选药不合理等进行了全面分析。结果:不合理用药处方696张,占抽查处方总数的3.2%。其中重复用药86张,占不合理用药处方12.4%;诊断与用药不符105张,占不合理用药处方15.1%;溶媒选用不当78张,占不合理用药处方11.2%、用法用量不当240张,占不合理用药处方34.5%;配伍禁忌60张,占不合理用药处方8.6%,联合用药75张,占不合理用药处方10.8%;选药不合理52张,占不合理用药处方的7.5%。结论:门诊中用药基本合理,但仍存在一些问题。药师与医生、护士应加强沟通,并主动参与临床药物治疗的全过程。
OBJECTIVE: To understand the prescriptions of unreasonable prescriptions in outpatient clinics in order to promote and improve the rational use of outpatients. Methods: 21752 prescriptions were randomly selected in the outpatient clinic in 2008, and the results of irrational use of drugs such as repeated medication, misdiagnosis and medication, improper use of solvents, improper usage of dosage, incompatibility with drugs, unreasonable combination of drugs and irrational drug selection A comprehensive analysis. Results: 696 unreasonable prescriptions, accounting for 3.2% of the total number of spot checks. Of which 86 were repeated medication, accounting for 12.4% of unreasonable drug prescriptions; diagnosis and medication inconsistent 105, accounting for irrational medication prescription 15.1%; improper use of solvent 78, accounting for 11.2% of irrational drug prescriptions, usage of inappropriate 240, accounting for Unreasonable drug prescription 34.5%; incompatibility 60, accounting for 8.6% of unreasonable drug prescriptions, combined 75, accounting for 10.8% of unreasonable drug prescriptions; unreasonable drug selection 52, accounting for 7.5% of unreasonable drug prescriptions. Conclusion: The medication in clinic is basically reasonable, but there are still some problems. Pharmacists and doctors, nurses should strengthen communication, and take the initiative to participate in the whole process of clinical drug treatment.