摘要
目的:了解上海中医药大学附属龙华医院(以下简称"我院")门诊中药饮片处方情况,以提高中药饮片处方质量,促进中药的合理应用。方法:运用我院自行研发的处方分析系统PA,随机抽取2018年门诊中药饮片处方,每月抽取400张,共抽取4 800张,涉及4 612例患者。从处方的规范性、用药适宜性等方面进行点评与分析,评估用药合理性。结果:4 800张门诊中药饮片处方中,不合理处方375张(占7.8%)。375张不合理处方存在的问题主要包括未写中医诊断及证型(81张,占21.6%)、重复用药(132张,占35.2%)和超剂量用药、违反"十八反、十九畏"配伍用药(162张,占43.2%)等。结论:我院门诊中药饮片处方还存在一些不合理情况,临床药师应加强与医师的交流和沟通,规范门急诊处方用药,促进合理用药。
OBJECTIVE: To investigate the current status of outpatient prescriptions for traditional Chinese medicine(TCM) decoction pieces in Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine(hereinafter referred to as "our hospital"), so as to improve the quality of prescriptions for TCM decoction pieces and promote the rational application of TCM. METHODS: The prescription analysis system PA developed by our hospital was applied, and 400 samples were taken from each month of 2018, a total of 4 800 prescriptions were taken, including 4 612 patients. Review and analysis were conducted on the standardization of prescription and appropriateness of medication, the rationality of medication was evaluated. RESULTS: Of the 4 800 outpatient prescriptions for TCM decoction pieces, 375 were unreasonable prescriptions(7.8%). The problems of irrational prescriptions were mainly lack of the diagnosis and syndrome type of TCM(81 prescriptions, 21.6%), repeated medication(132 prescriptions, 35.2%), overdose medication and violation of Eighteen Evils, Nineteen Fears medication(162 prescriptions, 43.2%). CONCLUSIONS: In our hospital, there are still some irrational prescriptions. Therefore, clinical pharmacists should strengthen the communication with the clinicians, participate in the drug treatment process and standardize the prescriptions in outpatient and emergency treatment, so as to promote the rational use of drugs.
作者
王坤
周昕
杨铭
WANG Kun;ZHOU Xin;YANG Ming(Dept.of Pharmacy,Traditional Chinese Medicine Hospital of Lu’an,Anhui Lu’an 237001,China;Dept.of Pharmacy,Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China)
出处
《中国医院用药评价与分析》
2019年第11期1385-1387,共3页
Evaluation and Analysis of Drug-use in Hospitals of China
基金
上海市临床药学重点专科建设项目基金项目
关键词
中药饮片处方点评
合理用药
处方分析系统
Review of prescriptions for TCM decoction pieces
Rational drug use
Prescription analysis system
