据近年报道,药源性疾病已占常见病的8％,肝脏病人中有1/5为药物引起,我国每年死于药品不良反应的人可达19万。这些数字提醒我们,医院药房作为医生施药的第二环节,应将合理用药提到医院药房工作的首要位置,以适应我国医院药学模式向科技服务型转变的要求。现就自己多年工作的实践,结合我省医院药房工作的现状,提几点建议。1.建立中西药综合审方关卡 目前各医院药房的中西药调剂工作是分开的,审方工作也是各行其事。中西药不合理配伍在临床上时有发生,而且日渐增多,如消渴丸(含优降糖)与呋喃唑酮合用,引发低血糖,朱砂安神丸与三溴合剂配伍引起药源性肠炎等等。含有西药成分的中药新制剂,新品种的大量应用上市;一些患者和个别不熟悉药物组成 According to reports in recent years, drug-induced diseases have accounted for 8% of common diseases and 1/5 of liver diseases are caused by drugs. Up to 190,000 people die of adverse drug reactions each year in our country. These figures remind us that the hospital pharmacy as the second part of the doctor’s drug application should refer to the rational use of drugs in the hospital pharmacy at the forefront of the work in order to adapt to China’s hospital pharmacy model to technology-based service changes. Now on their own practice of many years of work, combined with the current situation of hospital pharmacy in our province, make a few suggestions. 1. The establishment of comprehensive examination of Chinese and Western medicine checkpoint At present, pharmacy pharmacy in the hospital of the separation of Chinese and Western medicines are separated, the trial work is its own way. Irrational compatibility of Chinese and Western medicine clinically from time to time, and increasing, such as Xiaoke Pills (including glyburide) and furazolidone combined, triggering hypoglycemia, cinnabar and the three bromine Anshen pill lead to drug-induced enteritis and so on. A large number of new formulations of traditional Chinese medicine containing ingredients of Western medicine market; some patients and some are not familiar with the composition of the drug