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目的分析横县妇幼保健院处方点评与合理用药情况。方法随机抽取横县妇幼保健院2015年7—12月处方2632张,以《医院处方点评管理规范》(以下简称《规范》)为依据,对处方进行点评,统计分析2632张处方用药种类数量、用药金额、抗菌药物处方占比、中药注射剂占比、激素用药占比,计算处方不合理率及不合理处方构成比。结果本次处方点评过程中共抽查出35张不合理处方,不合理率为1.33%。主要不合理处方类型为未按照规定开出抗菌药物、配伍禁忌和不良反应、用法和用量异常等。结论本院门诊处方仍存在不合理的问题,应加强监督管理,在日后工作中及时发现问题,并采取有效措施加强处方点评,减少不合理用药现象的发生。
Objective To analyze the prescriptions and reasonable medication of Heng County Maternal and Child Health Hospital. Methods A total of 2632 prescriptions were collected from July to December 2015 in Hengxian Maternal and Child Health Hospital. Based on the “Management Regulations of Hospital Prescriptions Evaluation” (hereinafter referred to as “Specification”), the authors made comments on the prescriptions and statistically analyzed the number of 2,632 prescription drugs, The amount of medication, the proportion of prescription antibacterial drugs, traditional Chinese medicine injection ratio, hormonal accounting for the proportion of unreasonable prescriptions and unreasonable prescription ratio. Results In the course of the prescription review process, 35 unreasonable prescriptions were randomly selected and the unreasonable rate was 1.33%. The main types of unreasonable prescriptions are not in accordance with the provisions of antibacterial drugs, incompatibility and adverse reactions, usage and dosage exception. Conclusion There are still unreasonable problems in our outpatient prescriptions. We should strengthen supervision and management, find out problems in future work and take effective measures to strengthen prescription comments and reduce the occurrence of irrational drug use.