摘要
目的:通过对住院医嘱进行抽样调查,了解不合理用药情况,提高合理用药水平。方法:采用回顾性调查,抽查住院病历1092份,针对院内使用频率较高的6类药物进行合理用药分析,包括抗菌药、免疫调节剂、抗肿瘤药、中成药、消化系统药、镇痛药。结果:1092份住院病历中,不合理病历192份,不合理率17.58%。其中中成药、抗菌药和免疫调剂不合理率较高;主要是药物用法用量不合理和溶媒选择不合理,不合理率分别为48.43%和22.40%。结论:住院医嘱仍存在较多不合理用药现象,医院相关部门应加强合理用药的管理,重视处方点评工作,并做好合理用药的宣传和培训,保障患者用药的安全、有效和经济。
Objective： To analyze and summarize the hospital medical records of irrational drug use in a tumor hospital during 2013, so as to rationalize drug use. Methods： By a retrospective survey, a total of 1092 hospital medical records were analyzed and the proportion of irrational drug use was calculated. 6 kinds of drugs with frequent use in the hospital were analyzed, including antibiotics, immunomodulators, antineoplastic drugs, Chinese traditional medicine, digestive system drugs and analgesic drug. Results： There were 192 hospital medical records of irrational drug use, with a ratio of 17.58%, among which Chinese patent drugs, antimicrobial agents, and immunomodulators were in a more frequent irrational use. Conclusion： The analysis of hospital medical records shows that irrational drug use still exists at a relatively high level. In order to ensure safe, effective and economic clinical drug use, we should pay attention to the management of the rational drug use, strengthen publicity and training relatively.
出处
《中国药事》
CAS
2015年第9期988-992,共5页
Chinese Pharmaceutical Affairs
关键词
不合理用药
住院病历
医嘱分析
irrational drug use
hospital medical record
medical record analysis
