摘要
目的:对某综合性医院存在问题的中药处方进行整理并对不合理处方类型进行分析,旨在提高处方质量,促进合理用药。方法:2018年每月随机抽取门诊中药饮片、中药配方颗粒处方各100张,使用“处方评价表”的指标进行处方点评,找出存在的主要问题。结果:点评的2 400张中药处方中,不合格率7.3%,共计176张,其中不规范处方占比84.09%,用药不适宜处方占比8.52%,超常处方占比7.39%。结论:通过处方点评工作,发现该院中药饮片不合理处方存在问题较大,应加强医生在开具中药处方时的规范性,根据中医辨证论治的原则合理给药,严格控制给药剂量和味数,促进该院中药处方质量提高,保障中药治疗效果,保证患者用药安全。
Objective:The problems existing in the traditional Chinese medicine prescription in a general hospital were analysised,which aimed to improve the quality of prescriptions and promote rational drug use.Methods:In 2018,100 prescriptions of Chinese herbal pieces,and 100 prescriptions of traditional Chinese medicine formula particles for our patients were randomly selected every month.The indicators of Prescription Evaluation Form were used to comment the prescriptions to identify the main problems.Results:In the commented 2 400 traditional Chinese medicine prescriptions,176 prescriptions were unqualified(failure rate was 7.3%).Among unqualified prescriptions,non-standard prescriptions accounted for 84.09%,inappropriate prescriptions accounted for 8.52%,extraordinary prescriptions accounted for 7.39%.Conclusion:Through the prescription review,many problems of traditional Chinese medicine unreasonable prescriptions in the hospital were found.Management should be strengthened,and the unreasonable prescriptions should be actively intervened to improve the quality of prescriptions and effectively improve the standardization of traditional Chinese medicine prescription writing and the rationality of medication,and to ensure medication.
作者
暴慧军
BAO Huijun(Pharmacy Department,the Third People′s Hospital of Henan Province,Henan Zhengzhou 450006,China)
出处
《中国医药导刊》
2019年第8期480-483,共4页
Chinese Journal of Medicinal Guide
关键词
中药处方
处方分析
存在问题
干预措施
Traditional Chinese medicine prescription
Prescription analysis
Problem
Intervention
