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目的调查和分析惠东县妇幼保健院儿童门、急诊中成药处方合理性及药物使用现状,为加强临床合理用药,保障儿童用药安全提供科学资料。方法抽取2013年12月至2015年12月广东省惠东县妇幼保健院儿童门急诊开具的1200张中成药处方,采取回顾性分析方法统计使用中成药患儿年龄分布、科室分布、种类及不合理用药情况。结果 12岁以下患儿是中成药处方的主要使用群体,占97.1%;开具中成药处方数量最多的科室为内科门急诊,其次为皮肤科;祛痰和清热是儿童门急诊中成药处方的两大功能主治,分别占25.9%、25.4%,明显高于其他种类处方所占比例;在出现的不合理用药情况中,超出儿童用药剂量问题较为突出,占全部不合理处方的44.0%。结论结合调查资料应当在中医理论指导下不断提高儿童中成药处方用药水平,并在科学点评处方的同时持续改进管理体系,保证门急诊中成药处方用药安全及合理性。
Objective To investigate and analyze the rationality of prescriptions and drug use of children’s doors and emergency medicine in Huidong MCH hospital and provide scientific materials for strengthening the clinical rational drug use and ensuring the drug safety of children. Methods A total of 1,200 Chinese patent prescriptions issued by Children’s Emergency Department of Huidong Maternal and Child Health Care Hospital of Guangdong Province from December 2013 to December 2015 were collected. The age distribution, department distribution, type of department, and department of Chinese patent medicine were retrospectively analyzed Rational use of drugs. Results The children under 12 years of age were the major users of prescriptions for Chinese patent medicines, accounting for 97.1%. The departments with the largest number of prescriptions for proprietary Chinese medicines were department of internal medicine and emergency department, followed by department of dermatology. Expectorant and excretion were two prescriptions Among them, 25.9% and 25.4% were major functional indications, respectively, which was significantly higher than that of other types of prescriptions. Among the unreasonable drug abuse cases, the excess of children’s dosage was more prominent, accounting for 44.0% of all unreasonable prescriptions. Conclusion Combined with the survey data, we should continuously improve the prescription level of proprietary Chinese medicines in children under the guidance of Chinese medicine theory and continue to improve the management system while reviewing prescriptions in order to ensure the safety and rationality of prescribing medicines for outpatient and emergency medicine.