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目的分析处方点评工作中暴露的问题,促进临床合理用药。方法以随机抽样法抽取该院每月门诊处方100张,共计1200张,临床药师对处方逐一进行审查,对不合理用药处方进行统计分析,并对其中的部分典型不合理处方进行点评。结果不合理处方122张,占总抽查处方数的10.17%,不合理处方类型主要包括临床诊断不明确、药物用法、用量不合理、溶媒选择或合用不合理、无指征使用抗生素、药物配伍不当等。结论医院用药基本合理,但仍有小部分处方用药不合理,需大力改进;处方点评是了解临床用药水平的重要手段,通过定期进行处方点评,剖析临床用药存在的问题,及时发现,合理干预,将有利于提高临床医师合理用药水平。
Objective To analyze the problems exposed in the prescription review work and promote clinical rational use of drugs. Methods A total of 100 outpatient outpatients were randomly selected from the hospital with a total of 1200 prescriptions. The clinical pharmacists reviewed the prescriptions one by one and made statistical analysis on the unreasonable prescriptions. Some of the typical unreasonable prescriptions were reviewed. The results of 122 unreasonable prescriptions, accounting for 10.17% of the total number of random checks, irrational prescription types include clinical diagnosis is not clear, the drug usage, dosage is unreasonable, solvent selection or combination unreasonable, no indication of the use of antibiotics, improper compatibility of the drug Wait. Conclusions The hospital medication is basically reasonable, but there is still a small portion of prescription medication is unreasonable, need to be greatly improved; prescription reviews is an important means of understanding the level of clinical medication, through regular reviews, analysis of clinical medication problems, timely detection, reasonable intervention, Will help to improve the rational use of clinicians level.