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目的:探讨西药及其制剂临床应用常见问题及有效的规避方法。方法:通过文献调研,并结合本院工作实际情况,对西药及其制剂的临床应用常见问题加以总结,并深入分析行之有效的规避策略。结果:对西药及其制剂临床应用常见问题加以总结,主要包括质量风险、不合理用药、超适应症、超说明书用药,药物联合应用和特殊人群用药问题等。结论:严格把控药品采购环节,规范临床合理用药和重视药品不良反应上报等是规避用药风险的关键措施,应引起医院重视。
Objective: To discuss the common problems of clinical application of western medicine and its preparation and effective ways to avoid it. Methods: Based on the literature survey and the actual situation in our hospital, the common problems of clinical application of western medicine and its preparation were summarized, and the effective evading strategies were analyzed. Results: The common problems in the clinical application of western medicine and its preparations were summarized, including quality risk, unreasonable medication, hyper-indications, super manual medication, drug combination and medication for special population. Conclusion: Strict control of drug procurement links, regulate clinical rational use of drugs and attention to adverse drug reactions reported is the key to avoid the risk of medication, should cause the hospital attention.