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目的探讨广东省中山市石岐苏华赞医院66668份中成药医嘱干预效果分析及医嘱点评模式。方法回顾性分析广东省中山市石岐苏华赞医院中成药医嘱66668份,统计特殊人群中成药用药情况,从不规范医嘱、超常医嘱、用药不适宜医嘱等方面进行点评。结果 66668张中成药医嘱中,妇产科最高,眼科其最少。204种涉及特殊人群的中成药,对孕妇及哺乳期妇女用药进行说明的占66.18%,对儿童用药进行说明的占37.25%,对老年人用药进行说明的占22.06%。共862份涉及特殊人群用药,其中716份进行医嘱干预,146份未进行医嘱干预,医嘱干预患者不合理处方发生率显著低于未进行医嘱干预的(P<0.05)。66668例中药医嘱中,438例为不合理医嘱,占0.64%,其中适应症不适宜最为常见,占37.67%。结论中成药说明书对特殊人群用药信息标注不明确,应加强规范化管理,提高合理用药水平。
Objective To investigate the effect of 66668 prescriptions of traditional Chinese medicine (TCM) prescribed by doctors in Shiqi Suhua Zhan Hospital of Zhongshan City, Guangdong Province, and the evaluation mode of doctor’s advice. Methods A retrospective analysis was made on 66,668 prescriptions of proprietary Chinese medicines from Shiqi Suhua Zhan Hospital of Zhongshan City, Guangdong Province. Statistics were made on the use of proprietary Chinese medicines in special populations. Comments were made on non-standardized medical advice, supernormal medical advice and medication inappropriate medical advice. Results 66,668 Zhang proprietary medicine orders, the highest obstetrics and gynecology, ophthalmology at least. Of the 204 kinds of proprietary Chinese medicines, 66.18% of pregnant women and lactating women used drugs, 37.25% of children used drugs, and 22.06% of them used drugs for the elderly. A total of 862 cases involving special population medication, of which 716 intervention orders, 146 were not intervention orders, prescription intervention patients irrational prescription incidence was significantly lower than without intervention (P <0.05). Of the 66668 Chinese medicine orders, 438 cases were unreasonable, accounting for 0.64%, of which indications were not suitable for the most common, accounting for 37.67%. Conclusions The instructions of proprietary Chinese medicines are not clear about the medication information of special population. Standardization management should be strengthened and the level of rational drug use should be raised.