摘要
目的研究静脉药物配置中不合理用药处方，找出解决不合理用药的方案。优化病人药物治疗。方法利用PIVAS作为工作平台，对我院2008年1月至12月间出现不合理用药处方2160张，依据药物配伍的稳定性、相容性、给药时间、给药浓度、溶媒选择、药物单次剂量及累积剂量、中西药物配伍等方面进行回顾性分析。结果一年间共审方509596张，其中查出不合理用药2160张，占0．42％。在不合理用药处方中主要表现为：（1）溶媒选择不合理；（2）给药浓度错误；（3）药物配伍不当；（4）药物用量用法不合理；（5）不合理的用药衔接。结论通过审方发现不合理用药处方并及时纠正，避免出现药物不良反应，符合卫生经济学原则。
Objective Finding out methods to solve non-rational use of drugs though studying nonrational prescriptions in pharmacy intravenous admixture, so that improve the drug therapy. Methods Pharmacy intravenous admixture services （ PIVAS ）being a working platform, 2160 non-rational prescriptions in 2008 were retrospective analyzed, which based on the compatibility of drugs, such as stability, compatibility, the time giving medicine, drug concentration, choice of menstruum, the single dosage and the accumulated dose, the compatibility of chinese tradition medicine and foreign medicine. Results Last year 509596 prescriptions were checked-up, in which 2160 belonged to non-rational use of drug prescriptions and taken up 0.42%. In those prescriptions, non-rational using drugs mainly showed as follows： （1） unreasonable choosing of menstruum, （2） incorrect drug concentration, （3） improper combining of medicines, （4） unreasonable dose of drugs, （5） improper linking up of medicines. Conclusions Finding out the non-rational use of drug prescriptions is to avoid side effects of medicine, so as to comply with the health economics principle.
出处
《国际医药卫生导报》
2009年第13期97-99,共3页
International Medicine and Health Guidance News
关键词
静脉药物配置
不合理用药
监测
Pharmacy intravenous admixture
Non-rational use of drug
Monitoring
