摘要
目的:了解首都医科大学附属北京世纪坛医院(以下简称“该院”)门诊消化系统疾病中成药处方情况,为临床合理使用中成药提供参考。方法:利用医院信息系统,随机抽取2021年该院门诊消化系统疾病中成药处方6 000张(每月500张),进行点评与分析。结果:抽取的6 000张门诊消化系统疾病中成药处方中,合理处方5 530张,不合理处方470张,处方不合理率为7.83%。470张不合理处方中,不规范处方26张(占5.53%),不适宜处方420张(占89.36%),超常处方24张(占5.11%),主要涉及适应证不适宜、联合用药不适宜和用法与用量不适宜等。结论:该院消化系统疾病中成药的应用基本合理,但仍存在一些不合理用药的情况,应完善中成药的药品说明书、优化处方前置审核规则,以促进临床合理用药。
OBJECTIVE: To investigate the Chinese patent medicine prescriptions for digestive system disease in outpatient department in Beijing Shijitan Hospital Affiliated to Capital Medical University(hereinafter referred to as “the hospital”), so as to provide reference for rational application of Chinese patent medicine. METHODS: Totally 6 000 Chinese patent medicine prescriptions for digestive system disease in outpatient department of the hospital in 2021(500 prescriptions per month) were randomly extracted from the hospital information system for comment and analysis. RESULTS: Of the 6 000 Chinese patent medicine prescriptions for digestive system disease in outpatient department, 5 530 were rational and 470 were irrational prescriptions, with an irrational rate of 7.83%. Of the 470 irrational prescriptions, 26 were non-standard prescriptions(5.53%), 420 were inappropriate prescriptions(89.36%) and 24 were abnormal prescriptions(5.11%), mainly involving inappropriate indications, inappropriate drug combination and inappropriate usage and dosage. CONCLUSIONS: The application of Chinese patent medicine for digestive system diseases in this hospital is basically reasonable, but there are still some cases of irrational medication, so that the drug instructions of Chinese patent medicine should be improved and the rules of prescription pre-review should be optimized in order to promote clinical rational medication.
作者
年宏蕾
顾红燕
刘敏
张茉
曾蔚欣
NIAN Honglei;GU Hongyan;LIU Min;ZHANG Mo;ZENG Weixin(Dept.of Pharmacy,Beijing Shijitan Hospital Affiliated to Capital Medical University,Beijing 100038,China;Beijing Key Laboratory of Evaluation on Clinical Rational Drug Application,Beijing 100038,China)
出处
《中国医院用药评价与分析》
2022年第10期1255-1258,共4页
Evaluation and Analysis of Drug-use in Hospitals of China
基金
北京市医管局“登峰”人才培养计划项目(No.DFL20190702)
北京市优秀人才培养资助项目(No.2018000021223TD09)
北京市属医院科研培育计划项目(No.PG2020014)
首都医科大学附属北京世纪坛医院青年基金项目(No.2017-q46)。
关键词
消化系统疾病
中成药
处方点评
用药分析
Digestive system disease
Chinese patent medicine
Prescriptions review
Analysis of drug use
