目的 :了解我国现行合理用药状况 ,促进合理用药水平的提高。方法 :选择7家不同等级医院5个月门诊处方和当日门诊就医的患者 ,采取多中心、随机、平行试验方法 ,对合理用药国际指标的核心指标进行现场调查研究 ,用SPSS10 0软件进行统计分析。结果 :处方指标 :平均用药品种数2 63种 ;抗生素应用率38 3 % ;针剂应用率20 4% ;基本药物应用率69 6 %。患者关怀指标 :平均就诊时间7 17分钟 ;平均调配药时间15 4秒钟 ;实际调配药物率100 % ;药物标示完整率99% ;患者了解正确用药方法率86 3 %。结论 :采用国际指标评价用药合理性具有可操作性和有效性。我国合理用药水平较低 ,医师、药师对患者的交流关怀不够 ,有待于提高和进行干预 Objective: To understand the current status of rational drug use in our country and to promote the rational use of drugs. Methods: Seven patients from different levels of hospitals for 5 months outpatient service and outpatient clinic for the same day were selected to carry out on-site investigation and study on the core indicators of international indicators of rational drug use by multi-center, randomized and parallel test methods. Statistical analysis was conducted by using SPSS10 software . Results: Prescription indicators: average number of drugs used was 2 63 species; antibiotic application rate was 38 3%; injections application rate was 20 4%; and basic drug application rate was 69 6%. Patient care indicators: the average treatment time 7 17 minutes; the average dispensing time 15 4 seconds; the actual deployment of drugs rate of 100%; drug labeling complete rate of 99%; patients understand the correct rate of 86 3%. Conclusion: It is feasible and effective to evaluate the rationality of drugs using international indexes. The reasonable level of medication in our country is low, and the physicians and pharmacists are not paying enough attention to the patients and need to improve and intervene