摘要
目的分析中药处方的临床不合理应用情况,并进行中药处方点评,以探讨中药处方点评对中药饮片使用合理性的影响。方法将开展中药处方点评前(2019年1~12月)的650张处方作为对照组,开展中药处方点评后(2020年1~12月)的710张处方作为研究组。对照组未开展中药处方点评,研究组开展中药处方点评。比较两组不合理处方发生情况及医患纠纷发生情况。结果研究组的不规范处方、不适宜处方、大处方发生率分别为21.97%、30.42%、0.99%,均明显低于对照组的73.69%、69.08%、5.08%,差异有统计学意义(P<0.05)。研究组医患纠纷发生率为1.27%(9/710),低于对照组的6.77%(44/650),差异有统计学意义(P<0.05)。结论中药饮片临床应用存在较多不合理用药情况,通过中药处方点评可有效的促进中药饮片的合理应用水平,并能监测中药饮片的用药质量,加强中药饮片处方的监管,从而保障患者的用药安全,改善医患关系。
Objective To analyze the clinical irrational application of traditional Chinese medicine prescription and conduct a traditional Chinese medicine prescription comments in order to explore the impact of traditional Chinese medicine prescription comments on the rationality of the use of Chinese herbal pieces.Methods 650 prescriptions before traditional Chinese medicine prescription comments(January-December 2019)were used as the control group,and 710 prescriptions after traditional Chinese medicine prescription comments(January-December 2020)were used as the study group.The control group did not carry out traditional Chinese medicine prescription comments,and the study group carried out traditional Chinese medicine prescription comments.The occurrence of irrational prescriptions and doctor-patient disputes were compared between the two groups.Results The incidence rates of irregular prescription,inappropriate prescription and overprescribing in the study group were 21.97%,30.42%and 0.99%,respectively,which were significantly lower than those of 73.69%,69.08%and 5.08%in the control group,and the difference was statistically significant(P<0.05).The incidence of doctor-patient disputes in the study group was 1.27%(9/710),which was lower than that of 6.77%(44/650)in the control group,and the difference was statistically significant(P<0.05).Conclusion There are many irrational drug use cases in the clinical application of Chinese herbal pieces.Traditional Chinese medicine prescription comments can effectively promote the rational application level of Chinese herbal pieces,monitor the drug quality of Chinese herbal pieces,strengthen the supervision of Chinese herbal pieces,so as to ensure the safety of patients'drug use and improve the doctor-patient relationship.
作者
甄中锋
张小卫
张慧
ZHEN Zhong-feng;ZHANG Xiao-wei;ZHANG Hui(Department of Pharmacy,Jining Public Health Medical Center,Jining 272131,China)
出处
《中国实用医药》
2024年第1期140-142,共3页
China Practical Medicine
关键词
中药饮片
临床合理用药
不合理用药
中药处方
Chinese herbal piece
Clinical rational drug use
Irrational drug use
Traditional Chinese medicine prescription
