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目的:探讨消化内科常见用药不合理使用情况,并分析其成因以及带来的危害。方法:对自2013年1月—2016年12月这三年来就诊于我院消化内科的1680病例进行用药回顾,对常见的用药不合理情况进行归纳总结,并据此研究避免不合理用药的发生。结果:在进行回顾与分析后了解到,在2013年1月—2016年12月,存在用药不合理的患者高达248例,其中2013年消化内科常见用药不合理患者有70例,2014年消化内科常见用药不合理患者有66例,2015年消化内科常见用药不合理患者有62例,2016年消化内科常见用药不合理患者有50例;其中用药不合理的原因主要有四个方面,药物使用量大,占39.8%;用药重复,占30.6%;联合用药不合理,占17.4%;药物连用所导致的毒副作用,占11.2%。结论:合理用药是治疗方案能够达到预期效果的基石,应当采用有效方法来避免治疗过程中的用药不合理。
Objective: To investigate the irrational use of common medications in gastroenterology and to analyze its causes and the harms it brings. Methods: A retrospective review of 1680 cases treated in our department of gastroenterology from January 2013 to December 2016 for the past three years was conducted to summarize the common irrational use of drugs and to study the prevention of irrational use of drugs . Results: After the review and analysis, it was found that from January 2013 to December 2016, there were 248 patients with unreasonable medication. Among them, there were 70 patients with unreasonable medication in gastroenterology in 2013, 66 cases of common medication unreasonable patients, 62 cases of unreasonable common medication in gastroenterology in 2015, 50 cases of common medication unreasonable in gastroenterology in 2016. There are mainly four reasons for the unreasonable medication, Large, accounting for 39.8%; medication repeated, accounting for 30.6%; combination medication unreasonable, accounting for 17.4%; drug side effects caused by the use, accounting for 11.2%. Conclusion: Rational drug use is the cornerstone of the treatment program to achieve the desired results, and effective methods should be adopted to avoid unreasonable medication in the course of treatment.