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目的对北京市垂杨柳医院中药注射剂处方进行分析,了解门、急诊患者用药基本情况,保证患者用药安全有效。方法抽取2012年10月1日—10月31日门、急诊含有中药注射剂的处方,对其不合理用药情况进行分类和统计,分析原因并提出处理建议。结果含中药注射剂的处方2 412张,其中不合理处方854张,占中药注射剂处方总量的35.4%。情况分类如下:用法用量不合理共98例,占不合理处方数的11.5%;诊断与用药不符共42例,占不合理处方数的4.9%;中西药配伍不合理共13例,占不合理处方数的1.5%;溶媒不合理共701例,占不合理处方数的82.1%。结论该院中药注射剂的使用存在一些问题且呈多样性,需要药师与医师及时沟通,及时解决处方中不合理用药问题,保障患者用药安全、经济、有效。
Objective To analyze the prescription of traditional Chinese medicine injection of Chuihyangliu Hospital in Beijing, and to understand the basic situation of drug use in door and emergency patients so as to ensure safe and effective medication for patients. Methods From October 1, 2012 to October 31, 2012, emergency and traditional Chinese medicine injections were collected and the irrational use of drugs was classified and analyzed. The reasons and suggestions were put forward. Results There were 2 412 prescriptions containing traditional Chinese medicine injections, of which 854 were unreasonable prescriptions, accounting for 35.4% of the total prescriptions of Chinese medicine injections. The situation is classified as follows: Usage and dosage unreasonable A total of 98 cases, accounting for 11.5% of unreasonable number of prescriptions; diagnosis and medication does not match a total of 42 cases, accounting for 4.9% of unreasonable number of prescriptions; unreasonable combination of Chinese and Western medicines a total of 13 cases, accounting for unreasonable The number of prescriptions was 1.5%. There were 701 unreasonable solvents, accounting for 82.1% of unreasonable prescriptions. Conclusion There are some problems in the use of TCM injection and its diversity. It is necessary for pharmacists and physicians to communicate in time and solve the problem of unreasonable medication in prescriptions in time to ensure the safe, economical and effective medication for patients.