NIAN Honglei, LIU Min, DUAN Songleng, et al. Review on 4 800 Outpatient Prescriptions of Chinese Patent Medicine for Cardiovascular Disease and Analysis on Medication Rationality. [J]. 22(1):106-108(2022)
DOI:
NIAN Honglei, LIU Min, DUAN Songleng, et al. Review on 4 800 Outpatient Prescriptions of Chinese Patent Medicine for Cardiovascular Disease and Analysis on Medication Rationality. [J]. 22(1):106-108(2022) DOI: 10.14009/j.issn.1672-2124.2022.01.022.
Review on 4 800 Outpatient Prescriptions of Chinese Patent Medicine for Cardiovascular Disease and Analysis on Medication Rationality
摘要
目的:了解首都医科大学附属北京世纪坛医院(以下简称"该院")门诊心血管类中成药处方情况
并探讨用药合理性
以促进临床合理用药。方法:利用医院信息系统
抽取2020年10月至2021年9月该院门诊心血管类中成药处方4 800张(每月400张)
对患者年龄进行统计
并对处方进行点评与分析。结果:抽取的4 800张门诊心血管类中成药处方中
老年患者(≥60岁)处方2 968张(占61.83%);合理处方4 565张
不合理处方235张
处方不合理率为4.90%。235张不合理处方中
不规范处方32张(占13.62%)
用药不适宜处方186张(占79.15%)
超常处方17张(占7.23%)。结论:该院心血管类中成药的应用基本合理
但仍然存在一些问题
应加强临床西医师的中医理论培训
开展处方前置审核
培养中西医结合型临床药师
提高临床用药合理性。
Abstract
OBJECTIVE: To investigate the outpatient prescriptions of Chinese patent medicine for cardiovascular disease in Beijing Shijitan Hospital Affiliated to Capital Medical University( hereinafter referred to as“this hospital”)
and to probe into the medication rationality
so as to promote clinical rational medication. METHODS: Using the hospital information system
4 800 outpatient prescriptions( 400 prescriptions in each month) of Chinese patent medicine for cardiovascular disease in this hospital from Oct. 2020 to Sept. 2021 were extracted
the age of patients was collected
and the prescriptions were reviewed and analyzed. RESULTS: Among the 4 800 outpatient prescriptions of Chinese patent medicine for cardiovascular disease
2 968 prescriptions( 61. 83%) were for elderly patients( ≥60 years old); 4 565 were rational prescriptions and 235 were irrational prescriptions
with the irrational rate was 4. 90%.Among the 235 irrational prescriptions
32( 13. 62%) were irregular prescriptions
186( 79. 15%) were inappropriate prescriptions
17( 7. 23%) were supernormal prescriptions. CONCLUSIONS: The application of Chinese patent medicine for cardiovascular disease in this hospital is basic rational
but there are still some problems
the training of clinical Western physicians in the theory of traditional Chinese Medicine should be strengthened
prescription prereview should be carried out
clinical pharmacists of integrated Chinese and Western medicine should be trained to improve the rational clinical medication.