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目的观察及分析门诊中成药不合理应用情况,并探究防控对策。方法随机抽取医院门诊中成药处方1 135张,对于中成药的用药情况(配伍、用法、剂型以及适应证等)展开分析,并且统计出不合理性用药的比例。结果 1 135张门诊部中成药处方中73张中成药处方具有不合理现象,发生率为6.43%;产生不合理的因素众多,包括用法不当、剂型选择不合理、中西药配伍不当以及适应证不明确等;其中占据比重最大的不合理因素就是适应证不明确,高于其他因素所占比重。结论当前在中成药临床应用期间具有较为严重的不合理情况,不合理因素包含多个方面。需要严格重视中成药不合理应用的问题,积极采取有效措施进行防控,确保用药安全性。
Objective To observe and analyze the irrational application of proprietary Chinese medicines in outpatient clinics and explore prevention and control measures. Methods A total of 1 135 prescriptions of proprietary Chinese medicines in hospitals were randomly selected and analyzed for the use of proprietary Chinese medicines (compatibility, usage, dosage forms, indications, etc.) and the proportion of irrational medicines was calculated. Results Among the 1 135 clinics, 73 prescriptions of proprietary Chinese medicines were unreasonable, with an incidence rate of 6.43%. There were many irrational factors including improper usage, irrational dosage form selection, improper compatibility of traditional Chinese and western medicines and indications Clear, etc. Among them, the unreasonable factor that occupies the largest proportion is that the indication is not clear and higher than the proportion of other factors. Conclusion Currently, there is more serious unreasonable situation in the clinical application of proprietary Chinese medicines. The unreasonable factors include many aspects. It is necessary to pay strict attention to the problem of irrational application of proprietary Chinese medicines and actively take effective measures to prevent and control such diseases and ensure the safety of medication.