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目的分析河南省驻马店市中心医院门诊处方的用药情况,促进临床合理用药。方法随机抽取2008年每月中的3d处方(特殊药品处方除外),了解我院不合理用药情况,以《处方管理办法(试行)》为判断标准,对处方中不合理用药情况进行全面统计分析。结果共抽查处方24956张,发现不合理用药处方1280张,占所查处方的5.13%。主要表现在配伍、用量、用法、选药不合理、联用药物超过五种等几方面。结论我院存在一定程度的不合理用药现象,药师应积极进行用药指导,提供必要的临床用药服务;临床医师应提高合理用药水平,注意用药的合理性,确保病人的用药安全。
Objective To analyze the medication situation of outpatient prescriptions in Central Hospital of Zhumadian City, Henan Province, and to promote clinical rational use of drugs. Methods We randomly selected the three-day prescription (excluding prescription drugs) in 2008 every month to understand the irrational use of drugs in our hospital, and conducted a comprehensive statistical analysis on the irrational use of drugs in the prescription based on the prescription management approach (for trial implementation) . Results A total of 24956 prescriptions were randomly selected and 1280 prescriptions of irrational medication were found, accounting for 5.13% of the prescriptions investigated. Mainly in the compatibility, dosage, usage, drug selection unreasonable, combined with more than five kinds of drugs and other aspects. Conclusions There is a certain degree of irrational drug use in our hospital. Pharmacists should actively guide the use of drugs and provide the necessary clinical drug service. Clinicians should raise the level of rational drug use and pay attention to the rationality of drug use to ensure the safety of patients.