Review and Analysis on 1 020 Prescription of Qiliqiangxin Capsule in Outpatient and Emergency Departments

ZONG Xiaolei; SHI Xiufeng; YANG Ming; ZHOU Xin; XU Liwen

doi:10.14009/j.issn.1672-2124.2020.03.024

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Review and Analysis on 1 020 Prescription of Qiliqiangxin Capsule in Outpatient and Emergency Departments

更新时间：2022-10-08

- Review and Analysis on 1 020 Prescription of Qiliqiangxin Capsule in Outpatient and Emergency Departments
- Vol. 20, Issue 3, Pages: 350-353(2020)
- 作者机构：
  
  1. 如皋市中医院/南京中医药大学如皋附属医院药剂科
  2. 上海中医药大学附属龙华医院药剂科
- 作者简介：
- 基金信息：
- DOI：10.14009/j.issn.1672-2124.2020.03.024
  CLC： R288
- Published：2020，
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[1]宗晓磊,史秀峰,杨铭,周昕,许丽雯.1020张门急诊芪苈强心胶囊处方专项点评与分析[J].中国医院用药评价与分析,2020,20(03):350-353.

ZONG Xiaolei, SHI Xiufeng, YANG Ming, et al. Review and Analysis on 1 020 Prescription of Qiliqiangxin Capsule in Outpatient and Emergency Departments. [J]. 20(3):350-353(2020)
[1]宗晓磊,史秀峰,杨铭,周昕,许丽雯.1020张门急诊芪苈强心胶囊处方专项点评与分析[J].中国医院用药评价与分析,2020,20(03):350-353. DOI： 10.14009/j.issn.1672-2124.2020.03.024.

ZONG Xiaolei, SHI Xiufeng, YANG Ming, et al. Review and Analysis on 1 020 Prescription of Qiliqiangxin Capsule in Outpatient and Emergency Departments. [J]. 20(3):350-353(2020) DOI： 10.14009/j.issn.1672-2124.2020.03.024.

摘要

目的:了解上海中医药大学附属龙华医院（以下简称"我院"）门急诊芪苈强心胶囊的使用情况

以促进中成药的合理应用

提高处方质量。方法:随机抽取2017年12月1日至2018年12月1日我院门急诊使用芪苈强心胶囊的处方1 020张

使用我院自主研发的处方分析系统PA系统

对功能主治、用法与用量以及联合用药等进行专项点评

并对结果进行分析

评估处方合理性。结果:1 020张门急诊芪苈强心胶囊处方中

不合理处方共172张（占16. 9%）;其中

不规范处方2张（占1. 2%）

用药不适宜处方76张（占44. 1%）

超常处方94张（占54. 7%）;不合理处方主要涉及违反使用禁忌

药物选择与诊断、证型不符以及重复用药等问题。结论:门急诊芪苈强心胶囊的临床使用存在一定问题

需加强管理

促进合理用药。

Abstract

OBJECTIVE: To investigate the application of Qiliqiangxin capsule in outpatient and emergency departments in Affiliated Longhua Hospital of Shanghai University of Traditional Chinese Medicine（ hereinafter referred to as "our hospital"）

so as to promote the rational application of traditional Chinese medicine and improve the quality of prescriptions. METHODS: 1 020 prescriptions applied with Qiliqiangxin capsule in outpatient and emergency departments in our hospital from Dec. 1 st

2017 to Dec. 1 st

2018 were randomly extracted

specialized review on functional indications

usage and dosage and drug combination were conducted by adopting the self-designed prescription-analysis system-PA

the results were collected and analyzed to assess the rationality of prescriptions.RESULTS: Of the 1 020 prescriptions of Qiliqiangxin capsule

there were 172 irrational prescriptions（ 16. 9%）;including 2 nonstandard prescriptions（ 1. 2%）

76 prescriptions with inappropriate drug application（ 44. 1%）

94 abnormal prescriptions（ 54. 7%）; the irrational prescriptions were mainly involving issues including violations of contraindications

inconsistency of drug selection with diagnosis and syndromes

repeated drug application

etc.CONCLUSIONS: There are certain problems in the clinical application of Qiliqiangxin capsule in outpatient and emergency departments

management needs to be strengthened to promote rational drug application.

关键词

芪苈强心胶囊专项点评合理用药处方分析系统

Keywords

Qiliqiangxin capsuleSpecialized reviewRational drug applicationPrescription-analysis system

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