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目的:通过对门诊不合理中成药处方进行干预,保证患者用药合理、安全。方法 :对2013年8月至2014年10月我院门诊1200张不合理中成药处方进行分析。结果 :不合理处方有多方面的原因,主要有跨科开药、超说明书最大量没有签字、疑似重复用药、超适应症或禁忌症用药、诊断与用药不符、没有诊断、用法错误等。经过干预提高了处方的质量。结论 :通过对不合理处方进行干预能及时而有效地保证患者的用药安全,促进医师和药师的中医辨证论治能力,保证处方质量和规范合理使用中成药。
Objective: To intervene in prescriptions for unreasonable Chinese patent medicines in outpatients to ensure that patients are rational and safe in medication. Methods : Analysis of 1200 unreasonable Chinese patent medicine prescriptions in our hospital from August 2013 to October 2014. Results: There are many reasons for unreasonable prescriptions. The main ones are cross-specimulation, non-signature of over-specific instructions, suspected repeated medications, over-indication or contraindications, inconsistent diagnosis and medication, no diagnosis, and incorrect usage. The intervention improved the quality of the prescription. Conclusion: Intervention of irrational prescriptions can ensure the safety of patients’ medication in a timely and effective manner, promote the ability of doctors and pharmacists in TCM syndrome differentiation, and ensure the quality of prescriptions and regulate the rational use of proprietary Chinese medicines.