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目的探讨门诊处方书写和药物应用情况并进行分析。方法从本院2008年10～12月门诊药房处方中,每个月随机抽取10本处方,共计9475张。以药品的说明书、教科书、文献资料及注射剂临床配伍检索表,《处方管理办法》的要求为依据,记录每张不合理用药处方出现问题的原因,明确用药不合理的问题,对其进行归类统计分析。结果抽查处方9475,合格处方9182张96.95%,不合格处方293张3.09%。结论通过对本次处方的点评发现很多问题,总结并采取以下措施,尽可能减少不合理用药的发生:临床掌握药物相关知识不全面,只注重药物适应证,而对于药物的药动学特点、药物之间相互作用、制剂类型等方面的知识缺乏了解,加强临床医师药理学和药物动力学方面知识;开展临床药学活动,开展药物咨询,提高患者用药安全。严格审查处方,积极协助医师合理用药。加强对药物使用权限、过程和结果的监督。
Objective To explore the outpatient prescriptions and the application of drugs and analyze. Methods From October 2008 to December 2008 outpatient pharmacy prescription, a random sample of 10 prescriptions per month, a total of 9475. Based on the instruction manual, textbooks, clinical compatibility index of injection and the prescription of the prescription management method, we record the reason of each irrational prescription and find out the problem of unreasonable medication and classify it Statistical Analysis. The results of random sampling 9475, 96.95% of eligible prescriptions 9182, 3.09% of 293 failed. Conclusion Through the review of this prescription, we found many problems, summarized and adopted the following measures to minimize the incidence of irrational drug use: clinical knowledge of the drug is not comprehensive grasp, only focus on drug indications, and pharmacokinetics of the drug, Drug interactions, preparation types and other aspects of the lack of knowledge, to enhance the clinician pharmacology and pharmacokinetics of knowledge; to carry out clinical pharmacy activities, to carry out drug counseling and improve patient medication safety. Strict review of prescriptions, and actively assist physicians rational use of drugs. Strengthen supervision of drug use rights, processes and results.