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目的:对我院门诊处方用药合理性进行调查评价,为合理用药提供参考。方法:随机抽取我院2009年10～12月门诊处方1 653张,按《处方管理办法》的要求,统计处方的科室、用药品种数、药品通用名数、使用抗菌药的处方数、使用注射剂的处方数、处方金额等,并对其合理性进行分析评价。结果:本院门诊处方中药品名称全部使用通用名,平均每张处方用药品种数为2.78种,抗菌药使用率为42.77%,注射剂使用率为34.18%,平均每张处方金额为301.62元,不合理用药处方占5.26%。结论:我院门诊用药基本合理,但在抗菌药的选用及联合用药方面仍存在一定问题,医院须进一步加强监控,确保患者用药安全、有效、经济。
OBJECTIVE: To investigate and evaluate the rationality of outpatient prescriptions in our hospital to provide reference for rational drug use. Methods: A total of 1 653 outpatient prescriptions were collected from October to December 2009 in our hospital. According to the requirements of the prescription management method, the number of prescriptions, the number of drugs used, the common names of drugs, the prescriptions of antibacterials, The number of prescriptions, the prescription amount, etc., and its rationality analysis and appraisal. Results: All the names of outpatient prescriptions in our hospital used common names, with an average of 2.78 medicines per prescription, an antimicrobial use rate of 42.77%, an injection rate of 34.18%, an average of 301.62 yuan per prescription, and no Reasonable drug prescriptions accounted for 5.26%. Conclusion: The outpatient medication in our hospital is basically reasonable, but there are still some problems in the selection and combination of antibacterial drugs. The hospital should further strengthen the monitoring to ensure that patients are safe, effective and economical.