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目的对门诊中成药处方的使用情况进行调查和分析,提高中成药使用的合理性。方法从深圳市南山区西丽人民医院门诊2016年10-12月开具的中成药处方中选取800张进行研究,对其进行回顾性分析,基于相关中医药理论知识,参照《处方管理办法》等规定和规范,结合药品的说明书,对处方中的不合理用药进行统计。结果本组处方中共9张不合理用药处方,约为1.125%,其中超剂量超疗程用药、重复用药、不辨证用药、中西配伍不当、超出适应证范围分别约为0.375%、0.125%、0.250%、0.250%、0.125%。结论西丽人民医院门诊中成药处方存在较多不合理之处,需要综合采取多种措施,遵循中医学理论,促进中成药的合理使用。
Objective To investigate and analyze the use of prescriptions for proprietary Chinese medicines in clinics to improve the rationality of using proprietary Chinese medicines. Methods A total of 800 prescriptions of proprietary Chinese medicines were selected from the outpatient clinics of Xili People’s Hospital of Nanshan District, Shenzhen from October to December 2016. The retrospective analysis was carried out. Based on the relevant theoretical knowledge of traditional Chinese medicine, refer to the “prescription management approach” and so on Regulations and norms, combined with the instructions of the drug, the prescription of irrational drug statistics. Results There were 9 unreasonable prescriptions in this group of prescriptions, accounting for about 1.125%. Among them, overdosage overdosage medication, repeated medication, no dialectical medication and improper compatibility between Chinese and western medicines were about 0.375%, 0.125% and 0.250% respectively, , 0.250%, 0.125%. Conclusion There are more unreasonable prescriptions for proprietary Chinese medicines in clinics of Xili People’s Hospital. Various measures need to be taken comprehensively to follow the theory of traditional Chinese medicine and promote the rational use of proprietary Chinese medicines.