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目的:探讨如何降低基层医院中成药的退药率。方法:选取2010年2月~2013年2月浙江省新昌县人民医院中成药门诊退药记录为研究对象,对退药科室和退药原因进行分析。结果:基层医院中成药退药数量最多的前三个科室分别是肾内科、中医科和普外科;导致基层医院中成药退药的前三位原因分别是药品不良反应、药证不符和禁忌证。结论:中成药退药率较高的科室应加强自身的管理,分析退药原因,规范用药,西医医生掌握辨证用药等中医药基本理论,可减少中成药退药现象的发生。
Objective: To explore ways to reduce the withdrawal rate of proprietary Chinese medicines in primary hospitals. Methods: From February 2010 to February 2013, the retired medicine records of proprietary Chinese medicines in Xinchang County People's Hospital of Zhejiang Province were selected as the research object, and the reason of withdrawal and the reason of withdrawal were analyzed. Results: The first three departments with the largest number of retreated proprietary Chinese medicines in primary hospitals were nephrology, traditional Chinese medicine and general surgery respectively. The first three reasons that led to the retreat of proprietary Chinese medicines in primary hospitals were adverse drug reactions, incompatible drug certificates and contraindications . Conclusion: The departments with higher withdrawal rate of proprietary Chinese medicines should strengthen their management, analyze the reason of withdrawal, standardize their medication and grasp the basic theory of traditional Chinese medicine such as dialectical medication by western medicine practitioners to reduce the occurrence of withdrawal of proprietary Chinese medicines.