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目的针对目前中药联合使用中普遍存在的不合理性进行讨论,希望引起医师和药师的重视,提高中药联合使用的合理性。方法通过抽取我院2010年1月～2012年1月100例门诊中药处方,筛选中药联合使用不合理处方,分析其原因。结果 100例门诊中药处方中,中药联合使用不合理处方有17例(17%),不合理性多见于医生不懂药物配伍禁忌,存在“十八反”、“十九畏”处方以及药物剂量的不合理性。结论通过对中药联合使用中存在不合理性的分析与思考,有针对性的改革中药处方的配伍禁忌,以便医生更加准确的应用中药制剂,给患者提供更加安全、可靠的治疗服务。
Aim To discuss the ubiquitous irrationality of traditional Chinese medicine in combination, we hope to attract the attention of physicians and pharmacists and improve the rationality of the combined use of traditional Chinese medicine. Methods By extracting 100 prescriptions of traditional Chinese medicine in our hospital from January 2010 to January 2012, we screened unreasonable prescriptions of traditional Chinese medicine and analyzed its causes. Results Among the 100 outpatient Chinese medicine prescriptions, 17 cases (17%) were irrational with traditional Chinese medicine. Unreasonable was more common in doctors who did not understand drug incompatibility and had “18”, “19” Prescriptions and irrationality of drug dosage. Conclusion Through the unreasonable analysis and thinking on the combined use of traditional Chinese medicine, we should reform the compatibility taboo of traditional Chinese medicine prescriptions so that doctors can apply traditional Chinese medicine more accurately and provide more safe and reliable treatment services to patients.