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目的:对我院门诊儿科处方进行评价与用药分析,以改善我院门诊儿科可能出现的问题。方法:随机抽取我院儿科的门诊处方563张,采用回顾性分析的方法,对其进行处方评价以及对所有处方上的药物进行用药分析,分析依据为《抗菌药物临床应用指导原则》、《中华人民共和国药典·临床用药须知》(2005年版)以及药品说明书国内外公开出版的医药学专业书籍等。结果:儿科门诊应用抗菌药物处方453张,占总处方的80.5%,其中抗菌药物单一使用246例,占抗菌药物总处方的57.4%,二联使用146例,占总处方的32.3%,三联用药为61例,占总处方的10.3%,本次统计,未出现三联以上合并用药的情况,但也不能排除绝对不存在这种情况的产生,因为有漏写患儿年龄(包括月、日龄)、体质量、临床诊断6例,占1.21%;处方内容不规范的有11例,占2.21%,处方医师没有签名或签名潦草无法辨认,调剂和审核药师没有盖章的有21例,占3.98%。结论:我院儿科门诊处方用药基本是合理的,可以通过实践改善我院门诊儿科可能出现的问题。
OBJECTIVE: To evaluate the pediatric prescriptions in our hospital and analyze the medication to improve the problems that may arise in outpatient pediatrics in our hospital. Methods: A total of 563 outpatient prescriptions were collected from our hospital. The prescriptions were evaluated retrospectively and the prescriptions were analyzed. The analysis was based on the Guiding Principles of Clinical Application of Antibacterials, People’s Republic of China Pharmacopoeia Notes on Clinical Use "(2005 Edition) and pharmaceutical manuals published in medicine books at home and abroad. Results: There were 453 prescriptions for antibiotics in pediatric clinic, accounting for 80.5% of the total prescriptions, of which 246 cases were single antibiotics, accounting for 57.4% of the total prescriptions of antibiotics, 146 cases were used in combination, accounting for 32.3% of the total prescriptions. For 61 cases, accounting for 10.3% of the total prescription, the statistics, there is no triple combination of medication, but can not rule out the absolute absence of this situation, because there are missed write the child age (including month, day age ), Body weight, clinical diagnosis of 6 cases, accounting for 1.21%; 11 cases of non-standard prescription content, accounting for 2.21%, the doctor did not sign the signature or illegible illegible, adjusting and reviewing Pharmacists did not seal in 21 cases, accounting for 3.98%. Conclusion: The prescription medication in pediatric outpatient department in our hospital is basically reasonable. The problems that may arise in outpatient pediatrics in our hospital can be improved through practice.