首页|中药饮片处方的临床不合理用药情况分析

中药饮片处方的临床不合理用药情况分析

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目的 分析中药处方的临床不合理应用情况,并进行中药处方点评,以探讨中药处方点评对中药饮片使用合理性的影响.方法 将开展中药处方点评前(2019 年 1~12 月)的 650 张处方作为对照组,开展中药处方点评后(2020 年 1~12 月)的 710 张处方作为研究组.对照组未开展中药处方点评,研究组开展中药处方点评.比较两组不合理处方发生情况及医患纠纷发生情况.结果 研究组的不规范处方、不适宜处方、大处方发生率分别为 21.97%、30.42%、0.99%,均明显低于对照组的 73.69%、69.08%、5.08%,差异有统计学意义(P<0.05).研究组医患纠纷发生率为 1.27%(9/710),低于对照组的6.77%(44/650),差异有统计学意义(P<0.05).结论 中药饮片临床应用存在较多不合理用药情况,通过中药处方点评可有效的促进中药饮片的合理应用水平,并能监测中药饮片的用药质量,加强中药饮片处方的监管,从而保障患者的用药安全,改善医患关系.
Analysis of clinical irrational drug use in Chinese herbal piece prescription
Objective To analyze the clinical irrational application of traditional Chinese medicine prescription and conduct a traditional Chinese medicine prescription comments in order to explore the impact of traditional Chinese medicine prescription comments on the rationality of the use of Chinese herbal pieces.Methods 650 prescriptions before traditional Chinese medicine prescription comments(January-December 2019)were used as the control group,and 710 prescriptions after traditional Chinese medicine prescription comments(January-December 2020)were used as the study group.The control group did not carry out traditional Chinese medicine prescription comments,and the study group carried out traditional Chinese medicine prescription comments.The occurrence of irrational prescriptions and doctor-patient disputes were compared between the two groups.Results The incidence rates of irregular prescription,inappropriate prescription and overprescribing in the study group were 21.97%,30.42%and 0.99%,respectively,which were significantly lower than those of 73.69%,69.08%and 5.08%in the control group,and the difference was statistically significant(P<0.05).The incidence of doctor-patient disputes in the study group was 1.27%(9/710),which was lower than that of 6.77%(44/650)in the control group,and the difference was statistically significant(P<0.05).Conclusion There are many irrational drug use cases in the clinical application of Chinese herbal pieces.Traditional Chinese medicine prescription comments can effectively promote the rational application level of Chinese herbal pieces,monitor the drug quality of Chinese herbal pieces,strengthen the supervision of Chinese herbal pieces,so as to ensure the safety of patients'drug use and improve the doctor-patient relationship.

Chinese herbal pieceClinical rational drug useIrrational drug useTraditional Chinese medicine prescription

甄中锋、张小卫、张慧

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272131 济宁市公共卫生医疗中心药剂科

中药饮片 临床合理用药 不合理用药 中药处方

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(1)
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