Rational Analysis of the Prescription Containing Blood-Regulating Agents in Six Primary Hospitals in Chongming District of Shanghai
Objective To analyze the rational use of blood regulating agents in six primary hospitals in Chongming District of Shanghai.Methods A total of 7 200 outpatient prescriptions containing blood-regulating agents with top 10 medication frequency in the hospital information system of six primary hospitals in Chongming District of Shanghai from June 2021 to May 2022 were selected.Prescription reviews and rationality analysis were conducted based on relevant guidelines and drug instructions.Results Among 7 200 prescriptions,the main diagnosed diseasse was coronary heart disease(54.86%),followed by cerebral infarction(51.90%)and hypertension(38.93%).The most commonly used traditional Chinese patent drug in combination with 10 blood-regulating agents was Xuesaitong Tablets/Capsules(2.81%),and the chemical drug was Aspirin Enteric-Coated Tablets(11.82%).According to the frequency of appearance of each blood-regulating agent,there were 8 184 prescriptions involved,and the duration of administration was mainly concentrated for longer than two weeks,but shorter than five weeks(65.42%).Among the 7 200 prescriptions,1 099 prescriptions were irrational,with a irrational rate of 15.26%,and the total frequency of irrational problems occurred in 1 148 prescriptions.Among them,the irrational prescriptions of Tongxinluo Capsules,Ginkgo Biloba Leaves Extract(Tablets/Capsules),and Naoxintong Capsules ranked among the top three,accounting for 16.11%,14.63%,and 12.02%,respectively.Among the inappropriate prescriptions,the inappropriate problems were occurred in 848 prescriptions,of which 272 prescriptions(32.08%)were inappropriate duration of medication,252 prescriptions(29.72%)were inappropriate combination of medication,and 210 prescriptions(24.76%)were repeated medication.Conclusion The rational rate of outpatient prescriptions containing blood-regulating agents in six primary hospitals in Chongming District of Shanghai needs to be further improved.The rational drug use of prescriptions containing blood-regulating agents should be promoted by establishing unified prescription review standards,building regional prescription review centers,and strengthening training on traditional Chinese medicine knowledge for general practitioners.
blood-regulating agentsprimary hospitalsprescription reviewrationalityChongming District of Shanghai
万方数据
维普
