改革开放以来，随着医药科技的飞速发展，获得批准上市的新药愈来愈多，再加上制药行业间的竞争，各类药品广告繁多。笔者从事药剂管理工作多年，通过本院临床药品处方分析和对其它一些县级医院用药情况调查发现，目前在县级医院普遍存在着一种临床用药混乱状态，不合理用药比 Since the reform and opening up, with the rapid development of medical science and technology, there have been more and more new drugs approved for listing, together with the competition among the pharmaceutical industry, various kinds of drugs have been advertised. The author engaged in pharmacy management for many years. Through the analysis of clinical drug prescriptions in this hospital and the investigation of drug use in some other county-level hospitals, it is found that there is currently a state of confusion in clinical drug use in county-level hospitals.