2016年某医院儿科门诊中成药处方点评与分析.docVIP

2016年某医院儿科门诊中成药处方点评与分析 刘佳 任昭 航天中心医院 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的:了解某医院儿科门诊中成药处方用药情况, 为临床合理用药提供参考, 以保障儿童用药安全。方法:从美康系统抽取某医院2016年儿科门诊中成药处方, 每月抽取100张, 共抽取1 200张进行回顾性点评与分析。结果:该医院儿科门诊疾病多涉及中医肺脏 (西医呼吸系统) , 不合理处方118张, 占抽取处方总数的9.83%。结论:该医院儿科中成药处方存在不合理使用情况, 需加强对《处方管理办法》和中医中药知识的学习, 诊疗过程中要注意辨证论治, 病、证、药相结合, 加强临床中成药合理用药意识, 确保临床安全、有效、经济用药。 关键词： 儿科; 中成药; 处方点评; 合理用药; 作者简介：刘佳 (1985—) , 女, 博士学位, 药师。研究方向:临床中药学。 收稿日期：2017-03-01 Analysis and Comments on the Prescriptions of Chinese Patent Drugs in Pediatric Outpatient of a Hospital in 2016 LIU Jia REN Zhao Aerospace Center Hospital; Abstract： Objective: To provide the reference for rational medication in clinic and ensure medication safety of the children by surveying reasonable use of Chinese patent drugs in the prescriptions in pediatric outpatient of a hospital. Methods: The Chinese patent drugs prescriptions in pediatric outpatient of a hospital in 2016 were selected from Meikang system, 100 pieces were chosen each month, altogether 1200 pieces were retrospectively commented and analyzed. Results: The diseases in pediatric outpatient mainly focused on TCM lung disease (respiratory disease in western medicine) , and there were 118 pieces of irrational prescriptions, which held 9.83% of all the prescriptions.Conclusion: There are some problems existed in Chinese patent drugs prescriptions in pediatric outpatient of the hospital, the doctors should enhance the learning of Prescription Administrative Policy and TCM knowledge, pay attention to syndrome differentiation and treatment during therapeutic course, combine the disease, syndrome and herbs, enhance the rational use consciousness of Chinese patent drugs in clinic, therefore, to ensure clinical safe, effective and economic mediation. Keyword： pediatrics; Chinese patent drugs; comments on prescription; reasonable use; Received： 2017-03-01 近年来, 随着中医药事业的发展, 中药、中成药的临床应用越来越广泛, 但由于人们对“中药安全无毒, 可长期随意使用”的错误理解, 导致其临床使用出现了问题, 尤