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目的分析该院目前中成药的不合理使用情况,为医院科学合理用药提供理论依据。方法选择医院近期2 000张门诊中成药处方,对其用药情况进行回顾性分析。结果 2 000张中成药处方中186张为不合理用药情况,占总数的9.30%;按照不同的错误用药方式分类,排在前3位的依次为重复用药情况、给药剂量不合理、无临床适应证用药,分别占不合理用药的43.55%、20.43%、15.59%。结论该院中成药不合理使用情况仍然有较多问题,其中重复用药、剂量不合理、无适应证用药三大问题最为显著,需要进行针对性整改,药师需加强培训和学习,遵守中医辨证治疗的思路,科学、系统的给予患者正确用药,减少不良反应的发生。
Objective To analyze the irrational use of proprietary Chinese medicines in this hospital and to provide a theoretical basis for scientific and rational use of medicines in hospitals. Methods The prescriptions of 2 000 outpatient clinics in the hospital were selected and their medication was retrospectively analyzed. Results 186 prescriptions of 2 000 proprietary Chinese medicines were irrational, accounting for 9.30% of the total; according to different wrong medication methods, the top 3 were repeated drug use cases with unreasonable dosage and no clinical Indications for drugs, accounting for 43.55%, 20.43%, 15.59% of irrational drug use. Conclusion The unreasonable use of proprietary Chinese medicines in this hospital still has many problems. Among them, the three major problems such as repeated medication, unreasonable dosage and no indications are the most significant, which require specific rectification. Pharmacists need to strengthen their training and study, observe TCM syndrome differentiation and treatment The idea of scientific and systematic patients given the right medication to reduce the incidence of adverse reactions.