智能化的处方前置审核对活血化瘀类中药注射剂合理使用的影响
Effect of intelligence-based prescription pre-review on the rattional use of traditional chinese medicine injection activating blood circulation and resolving
李玲玲 1付连浩 1褚智君 1郭志烨 1宋卫强 1缴万里1
作者信息
摘要
目的 探讨处方前置审核对活血化瘀类中药注射剂(TCMIA)合理使用的影响.方法 通过医院信息系统抽取不同时间段于医院住院,且住院期间使用过TCMIA的 200 份患者为研究对象,其中 2020 年 4 月 1 日至 2020 年 6 月30 日(开展处方前置审核前)抽取的 100 例患者为对照组;2022 年 4 月 1 日至 2022 年 6 月 30 日(开展处方前置审核后)抽取的 100 例患者为观察组.整理两组患者所用TCMIA的种类、不合理使用TCMIA的情况,对得到的数据进行统计分析.结果 开展处方前置审核后,两组患者未辩证用药、超功能主治用药、联合用药不适宜、重复用药、配伍禁忌等不合理用药问题比较,差异无统计学意义(P>0.05);观察组用法用量不适宜问题低于对照组,差异有统计学意义(P<0.05).两组患者使用TCMIA较多的为舒血宁注射液、注射用血栓通、银杏二萜内酯葡胺注射液.其中观察组患者使用舒血宁注射液、银杏二萜内酯葡胺注射液在用法用量不适宜的问题上低于对照组,差异有统计学意义(P<0.05);观察组患者使用舒血宁注射液、注射用血栓通在整体合理率上高于对照组,差异有统计学意义(P<0.05).心内科的两组患者在联合用药不适宜、未辨证用药的问题上比较,差异有统计学意义(P<0.05);神经内科的两组患者在用法用量不适宜的问题上比较,差异有统计学意义(P<0.05);其他科室不合理问题比较,差异无统计学意义(P>0.05).结论 人工智能化的处方前置审核规范医师处方行为,能够促进TCMIA的合理使用,保障患者用药安全.
Abstract
Objective To investigate the effects of prescription pre-review on the rational use of traditional Chinese medicine injection activating blood circulation and resolving stasis(TCMIA).Methods 200 patients hospitalized in hospital and used TCMIA during the hospitalization,including 100 patients from 1 April 2020 to 30 June 2020(before pre-review)were selected as the control group;100 patients from 1 April 2022 to 30 June 2022(after pre-review)were selected as the observation group.The types of the TCMIA and the unreasonable use of TCMIA were summarized,and the data obtained were statistically analyzed.Results After the prescription pre-review,the two groups of medical records showed no dialectical medication,hyperfunctional medication,inappropriate combination,repeated medication and incompatibility without statistical significance(P>0.05);the observation group was lower than that of the control group in inappropriate usage and dosage,and the difference had statistical significance(P<0.05).The two groups common used TCMIA including shuxuening injection,xueshuantong injection,and ginkgo diterpene lactone meglumine injection.Among them,the observation group using shuxuening injection and ginkgo diterpene lactone meglumine injection were lower than the control group in inappropriate usage and dosage,and the difference was statistically significant(P<0.05).The observation group using shuxuening injection and xueshuantong for injection were higher than the control group in overall reasonable rate,and the difference was statistically significant(P<0.05).The difference between the two groups of patients in inappropriate combination and no dialectical medication in cardiology was statistically significant(P<0.05),while the two groups of patients in inappropriate usage and dosage in neurology was statistically significant(P<0.05),and in other departments without statistical significance(P>0.05).Conclusion Artificial intelligence-based prescription pre-review standardizes physician prescription behavior,promotes the rational use of TCMIA and ensures patients'medication safety.
关键词
处方前置审核/人工智能/中药注射剂/合理用药Key words
Prescription pre-review/Artificial intelligence/Traditional chinese medicine injection/Rational drug use引用本文复制引用
基金项目
河北省药学会医院药学专项科研项目(2022-Hbsyxhqjyxqn10)
出版年
2024
NETL
NSTL
万方数据