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目的:分析在二级综合性医院中中成药使用现状及针对问题提出相关处理对策。方法:随机抽取420份住院病历,根据中医药理论、《中成药临床使用原则》《中华人民共和国药典·临床用药须知·中药成方制剂卷》、药品说明书等,对中成药使用情况进行专项处方点评及统计分析,重点是其不合理使用情况,并提出处理对策。结果:中成药使用例数占全部病例的68.8%,其中中成药不合理用药比例达32.4%。结论:处理对策加强对中医药知识的学习;加强专项处方点评;加强中成药的不良反应监测;网络监控与合理干预。
OBJECTIVE: To analyze the current situation of the use of proprietary Chinese medicines in the second-level general hospitals and to put forward some countermeasures to deal with the problems. Methods: A total of 420 hospitalized patients were randomly selected according to the theory of traditional Chinese medicine, the principle of clinical use of proprietary Chinese medicines, the Pharmacopoeia of the People’s Republic of China, clinical prescriptions, prescriptions of traditional Chinese medicines, and drug instruction manuals Comments and statistical analysis, focusing on its unreasonable use, and put forward countermeasures. Results: The use of proprietary Chinese medicines accounted for 68.8% of all cases, of which unreasonable proprietary Chinese medicines accounted for 32.4%. Conclusion: To deal with measures to strengthen knowledge of traditional Chinese medicine learning; strengthen the special prescription reviews; strengthen the monitoring of adverse reactions of proprietary Chinese medicines; network monitoring and reasonable intervention.