摘要
目的:了解我市急诊输液处方用药的合理性和安全性。方法:采用回顾性多中心的方法,选取我市二、三级医院共11家,随机抽取2009年8月其中4天的所有急诊输液处方,填写"输液处方评价表",从给药剂量、输液药物配伍合理性、给药途径等方面进行分析。结果:研究共纳入急诊输液处方3357张,给药剂量合理的处方3052张(90.91%),不合理处方多表现为单次给药剂量超出说明书中规定的最大剂量;输液药物配伍合理的处方比例为81.74%,不合理配伍表现在溶媒选取不当、注射用灭菌粉末无适当溶解液等方面;给药途径合理的处方比例为99.11%,不合理途径表现为未按照药品说明书规定的正确途径给药。结论:本市急诊输液处方基本合理,但在药物配伍等方面仍应引起重视。
OBJECTIVE：To investigate the rationality and safety of emergency infusion prescriptions in Tianjin.METHODS： In retrospective multi-centeral study,emergency infusion prescriptions were randomly selected from 4 days of Aug.2009 in 11 hospitals which included secondary hospitals and third-degree hospitals. ＂Infusion Prescription Evaluation Tablets＂ were adopted to analyze dosage,the rationality of drug compatibility,route of administration,etc.RESULTS：3 357 emergency infusion prescriptions were included.There were 3 052 pieces of reasonable dosage（90.91%）.Unreasonable prescriptions manifested as single dose of drug was higher than maximal dose of drug stated in package insert.There was 81.74% of reasonable drug compatibility.Unreasonable drug compatibility manifested as unreasonable selection of solvent,unsuitable solvent for sterile powder for injection.There were 99.11% of reasonable route of administration.Unreasonable route of administration manifested as non-conformance with the package insert.CONCLUSIONS：Emergency infusion prescriptions are basically rational,but there is still something unreasonable, such as drug compatibility,which is to be improved.
出处
《中国药房》
CAS
CSCD
北大核心
2011年第1期80-82,共3页
China Pharmacy
关键词
天津市
输液处方
急诊
处方分析
合理用药
药物配伍
给药剂量
Tianjin
Infusion prescription
Emergency
Prescription analysis
Rational use of drugs
Drug compatibility
Dos-age
