我院2013年门急诊处方点评及不合理用药分析_李亚昙.pdf

我院2013年门急诊处方点评及不合理用药分析 ＊ # 李亚昙 ，林伊梅（新疆医科大学第二附属医院药剂科，乌鲁木齐 830028） 中图分类号 R952；R969.3 文献标志码 A 文章编号 1001-0408（2015）08-1050-03 DOI 10.6039/j.issn. 1001-0408.2015.08.15 摘 要 目的：为临床合理用药提供参考。方法：通过等间隔方式，从我院2013年门急诊处方中每月随机抽取200张，共计2400 张。依据《处方管理办法》《医院处方点评管理规范（试行）》进行质量及不合理用药的点评和分析。结果：不合理处方159张，其中 不规范处方87张，不适宜处方72张，分别占不合理处方数的54.72％、45.28％。不合理处方以用法用量不适宜、处方内容书写不 完全、无适应证用药为主，分别占问题总数的19.32％、16.48％、15.34％，三者共占问题总数的51.14％。结论：通过强化处方点评， 加强合理用药知识的学习，有助于提高临床医师合理用药水平，规范医疗行为。 关键词 处方点评；不合理处方；用药分析 Prescription Comment and Analysis of Irrational Drug Use in Outpatient and Emergency Department of Our Hospital in 2013 LI Ya-tan ，LIN Yi-mei （Dept. of Pharmacy ，The Second Affiliated Hospital of Xinjiang Medical University ，Urumqi 830028，China ） ABSTRACT OBJECTIVE ：To provide reference for the rational use of drug in clinic. METHODS ：According to the equal irrter- val way ，200prescriptions were randomly collected manthly from outpatient and emergency department of our hospital in 2013，to- tally 2 400. “Prescription Administration Policy”，“Hospital Prescription Comment Practice （Trial ）”were used for the review and analyzing the irrational drug use and prescription quality. RESULTS ：159prescriptions were irrational ；87（54.72％）were irregular prescriptions ；72（45.28％）were unsuitable prescriptions. Irrational prescriptions mainly presented as unsuitable usage and dosage ， incomplete prescription writing ，no indications of medication ，accounting for 19.32％，16.48％and 15.34％，respectively. All of them occupied 51.14in total number of problems. CONCLUSIONS ：Through enhancing prescription evaluation ，strengthening the knowledge on rational use of drugs ，it could help to improve rational drug use of clinicians ，and regulate medical practices. KEYWORDS Prescription comment ；Irrational prescription ；Analysis of drug use 为规范处方，提高处方质量,促进医院合理用药，原卫生部 1.2