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目的:分析苏州大学附属第一医院静脉用药调配中心(PIVAs)不合理用药的因素,促进临床合理用药。方法:将收集的PIVAs不合理处方按溶媒选择、配伍禁忌、用药频率、用药剂量、药物浓度、静脉营养液等主要项目进行分析。结果:417张处方中溶媒选择不当31.65%,配伍禁忌21.10%,载体量选择不当23.50%等。结论:通过药师审方及时纠正临床用药配伍中存在的问题,避免或减少了ADR发生。
Objective: To analyze the factors of irrational drug use in the First Affiliated Hospital of Soochow University and to promote rational drug use in clinic. Methods: The unreasonable prescriptions of PIVAs collected were analyzed according to the main items such as solvent selection, incompatibility, medication frequency, dosage, drug concentration and intravenous nutrition solution. Results: In 417 prescriptions, the improper solvent selection was 31.65%, the incompatibility of compatibility was 21.10%, the amount of carrier was inappropriately selected and 23.50%. Conclusion: Through the trial of pharmacists timely correction of the problems in clinical compatibility, to avoid or reduce the occurrence of ADR.