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目的:寻求控制急诊一楼注射剂的不合理用药的有效方法。方法:对2011年7～12月我院急诊药房所出现过的179张不合理处方进行分类统计和分析,并找出相应对策。结果:分析表明在179张不合理处方中,属于注射剂溶媒选用不当的处方比例为46.4%,属于给药方案不正确处方比例为22.9%,药物用法、用量不适宜的处方占20.1%,6.7%的处方违反了《抗菌药物临床应用指导原则》,2.2%的处方属于书写不规范,适应症不适宜的处方只有1.7%。结论:通过分析并采取一系列措施,我院急诊科大夫在注射剂的使用上渐趋合理。
OBJECTIVE: To find an effective way to control the irrational use of injection on the first floor of emergency room. Methods: The classification and statistics of 179 unreasonable prescriptions that occurred in our hospital emergency pharmacy from July to December of 2011 were analyzed and the corresponding countermeasures were found out. Results: The analysis showed that among the 179 unreasonable prescriptions, the proportion of prescriptions that were improperly used in injection was 46.4%, which was 22.9% of the incorrect prescriptions for drug regimens. The dosage of drugs was 20.1% and the dosage was 6.7% Of the prescriptions violated the Guiding Principles of Clinical Application of Antibacterials, and 2.2% of the prescriptions were non-standard in writing. Only 1.7% of the prescriptions were inappropriate for indications. Conclusion: By analyzing and adopting a series of measures, the doctor of emergency department in our hospital becomes more rational in the use of injection.