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目的:探讨处方点评对于规范门诊处方的作用效果,以倡导合理用药。方法:随机抽取浙江省丽水市松阳县人民医院2012年2~3月实施处方点评后前两个月各科室门诊处方1000张,同时随机抽取2013年2~3月各科室门诊处方1000张,根据卫生部出台的《处方管理办法》及《医院处方点评规范》进行处方点评,比较实施处方点评前后的处方合格率。结果:实施处方点评后,抗菌药物使用率从26.7%下降到19.4%(P<0.01),处方不合格率从19.8%下降至5.8%(P<0.01)。2013年2~3月处方书写不规范率和不合理用药率较2012年2~3月均有显著下降(P<0.05)。结论:实施处方点评可有效提高门诊处方合格率,促进合理用药。
Objective: To discuss the effects of prescription reviews on prescription prescriptions in order to promote rational drug use. Methods: Songyang County People's Hospital of Lishui City, Zhejiang Province randomly selected 1000 outpatient prescriptions in each department in the first two months after implementing the prescription reviews from February to March 2012. At the same time, randomly selected 1000 outpatient prescriptions in departments from February to March 2013, The Ministry of Health issued the “prescription management approach” and “hospital prescription review norms” to conduct a review of prescriptions, prescriptions before and after the implementation of the prescription pass rate. Results: After the prescription was reviewed, the antimicrobial use rate dropped from 26.7% to 19.4% (P <0.01), and the prescription failure rate dropped from 19.8% to 5.8% (P <0.01). The non-standard rate and irrational rate of prescription writing from February to March in 2013 both decreased significantly from February to March in 2012 (P <0.05). Conclusion: The implementation of prescription reviews can effectively improve the outpatient prescription pass rate and promote rational drug use.