Review and Analysis on 148 657 Outpatient and Emergency Chinese Patent Medicine Prescriptions

WANG Shuhua; CHEN Xi; ZHAO Kuijun; DONG Yuan; Xue Caiqiu; MA Zhijie

doi:10.14009/j.issn.1672-2124.2021.07.027

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Review and Analysis on 148 657 Outpatient and Emergency Chinese Patent Medicine Prescriptions

更新时间：2022-10-08

- Review and Analysis on 148 657 Outpatient and Emergency Chinese Patent Medicine Prescriptions
- Vol. 21, Issue 7, Pages: 890-892(2021)
- 作者机构：
  
  首都医科大学附属北京友谊医院中药剂科
- 作者简介：
- 基金信息：
- DOI：10.14009/j.issn.1672-2124.2021.07.027
  CLC： R288
- Published：2021，
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WANG Shuhua, CHEN Xi, ZHAO Kuijun, et al. Review and Analysis on 148 657 Outpatient and Emergency Chinese Patent Medicine Prescriptions. [J]. 21(7):890-892(2021)
DOI：

WANG Shuhua, CHEN Xi, ZHAO Kuijun, et al. Review and Analysis on 148 657 Outpatient and Emergency Chinese Patent Medicine Prescriptions. [J]. 21(7):890-892(2021) DOI： 10.14009/j.issn.1672-2124.2021.07.027.

摘要

目的:基于处方点评

了解首都医科大学附属北京友谊医院(以下简称"我院")门急诊中成药使用情况

以完善合理用药

提升患者用药疗效和安全性

提高医疗质量。方法:随机抽取2020年我院门急诊中成药处方148 657张

进行专项处方点评

并进行分类汇总、统计分析。结果:148 657张门急诊中成药处方中

患者年龄分布于2～100岁;男性患者处方60 083张(占40.42%)

女性患者处方88 574张(占59.58%);合理处方148 494张

处方合理率为99.89%;不合理处方163张

不合理类型包括用法与用量不合理、联合用药不合理、重复用药和剂型或给药途径不合理。结论:该院门急诊中成药处方存在的问题主要为西医师开具中成药处方

医院应进一步加强处方干预措施

对门急诊临床医师加强中成药用药的培训

重视和规范中成药的临床合理应用

特别是重视儿童用药的合理性

进一步提高临床中成药合理应用水平。

Abstract

OBJECTIVE: To investigate the application of Chinese patent medicines based on prescription review in outpatient and emergency department of Beijing Friendship Hospital

Capital Medical University（ hereinafter referred to as "our hospital"）

so as to improve the rational drug use

promote the efficacy and safety of drug application

and improve the quality of medical treatment. METHODS: A total of 148 657 prescriptions of Chinese patent medicine in outpatient and emergency departments of our hospital in 2020 were randomly selected and reviewed

classified

summarized and statistically analyzed. RESULTS: Among 148 657 prescriptions of Chinese patent medicine

the patients’ ages were distributed from 2 to 100 years old; there were 60 083 prescriptions（ 40. 42%） for male patients and 88 574 prescriptions（ 59. 58%） for female patients; 148 494 prescriptions were rational

with the rational rate of99. 89%. There were 163 irrational prescriptions

including irrational usage and dosage

improper drug combination

repeated drug application

dosage form or route of administration. CONCLUSIONS: Problems with the prescription of Chinese patent medicine in the outpatient and emergency department of the hospital are mainly due to the prescription of Chinese patent medicine by western physicians. The hospital should further strengthen the prescription intervention measures

enhance the training on the application of Chinese patent medicine for outpatient and emergency clinicians

pay attention to and standardize the rational clinical application of Chinese patent medicine

especially for the rational application of medicines for children

and further improve the rational clinical application of Chinese patent medicine.

关键词

中成药处方点评合理用药

Keywords

Chinese patent medicinePrescription reviewRational use of drugs

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