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在临床用药中,常发现一些药物互相代用。这在某些情况下是允许的,但有时是不合理的,轻者延误病情,增加毒副作用,重者使病情加剧。现提出以下三方面问题供商讨。一、造成药物互相代用,有主观、客观及多方面的因素。如某些基层医院负责采购药品的人员对临床用药情况了解不够或由于资金不足不能编制较全面合理的进货计划,造成药品品种单调;有些医药人员对药物的性质和作用了解不够,特别是对药名类似,作用用途相近但又有所不同的药品;处方书写不正规等,以致造成药物的代用。
In clinical medication, often find some drugs substitute each other. This is allowed in some cases, but sometimes unreasonable, the light delay the condition, increase the side effects, the more severe make the condition worsened. Now put forward the following three issues for discussion. First, there are subjective, objective and multifactorial factors that cause the substitution of drugs. For instance, some grassroots hospitals do not know enough about the clinical use of medicines or can not formulate a more comprehensive and reasonable purchase plan due to lack of funds, resulting in a monotonous variety of medicines. Some medical workers do not know enough about the nature and effect of medicines, Name similar, similar purpose but different purposes of the drug; prescription not formal, etc., resulting in the substitution of drugs.