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目的:对门诊不合理的处方总结分析,并给出正确的建议,保障临床的合理用药。方法:选取青田县人民医院2014年1月~2015年12月期间儿科、眼科、妇科、耳鼻喉科及口腔科不合理的处方各200张,总计1000张,参照《处方管理办法》《中华人名共和国药典用药须知》中的不合理处方的相关标准进行评定,对不合理的处方并进行归类,对不合理的出现率较高并能找出对不合理的依据的处方进行重点分析总结并给予建议。结果:处方前记不完整或不正确的422张、用法用量书写不明的110张、商品名或音译名滥用的98张分别占不合理处方的42.20%、9.80%、11.00%,出现率较高。结论:要想控制好用药合理化,医师要加强专业知识学习,药师必需严格把好审方关,提高药物治疗水平,促进药物的合理使用,以提高患者的生命安全及健康。
OBJECTIVE: To summarize and analyze unreasonable prescriptions in outpatient departments and give correct suggestions to ensure the rational use of clinical medicine. Methods: Qingtian County People’s Hospital from January 2014 to December 2015 period pediatrics, ophthalmology, gynecology, otolaryngology and unreasonable stomatology 200 each, a total of 1000, with reference to “prescription management approach” “Chinese name Republic of China Pharmacopoeia Notes ”in the unreasonable prescriptions of the relevant criteria for assessment of unreasonable prescription and classification, the unreasonable high incidence and can find out the basis of unreasonable emphasis on the analysis and summary of the prescription Give advice Results: There were 422 incomplete or incorrect pre-prescription records, 110 unidentified usage dosage forms and 98 misuse of trade names or transliteration names respectively accounting for 42.20%, 9.80% and 11.00% of unreasonable prescriptions, respectively, with a higher incidence . Conclusion: In order to control the rationalization of medication, physicians should strengthen the study of professional knowledge. The pharmacist must strictly control the trial, improve the level of drug treatment and promote the rational use of drugs so as to enhance the patient’s life safety and health.