摘要
目的:分析医嘱中中药注射剂不合理用药的原因及其对策,为临床合理使用中药注射剂提供参考。方法:抽取医院静脉药物调配中心(PIVAS)2018年7-12月间中药注射剂不合理用药医嘱186份,分析其中药注射剂不合理医嘱发生的原因,并提出解决的措施。结果:186份中药注射剂医嘱中,其主要原因存在溶剂选择不合理、溶媒用量不合理、用法用量不合理、超疗程用药、药物联用不合理、配伍不合理等问题。结论:对于医嘱中存在中药注射剂不合理用药现象,药师应严格审核制度,加强干预力度,以进一步规范中药注射剂的合理使用,确保临床用药的安全性。
Objective:To analyze the reasons and its countermeasures of unreasonable medication of Traditional Chinese Medicine(TCM)injections in doctor’s advice,and to provide a reference for the rational medication of TCM injections in clinic.Methods:186 unreasonable prescriptions for TCM injections were collected in Pharmacy Intravenous Admixture Services(PIVAS)from July to December 2018 to analyze the causes of unreasonable prescriptions for TCM injections and to propose solutions.Results:Among the 186 TCM injections prescribed by doctors,the main Irrational reasons were choice of solvent,dosage of solvent,usage and dosage,extra-course medication,combination of drugs,compatibility,etc..Conclusion:For the unreasonable medication of TCM injections in the doctor’s advice,pharmacists should strictly review the system and strengthen the intervention,so as to further standardize the rational medication of TCM injections and to ensure the safety of clinical medication.
作者
白顺民
范哲
BAI Shun-min;FAN Zhe(Department of Pharmacy,The No.2 People's Hospital of Jiaozuo(The No.1 Hospital Affiliated to He'nan Polytechnic University),Jiaozuo Henan 454001,China;Department of Neurology,The No.5 People's Hospital of Jiaozuo,Jiaozuo He'nan 454001,China)
出处
《抗感染药学》
2020年第1期28-32,共5页
Anti-infection Pharmacy
关键词
PIVAS
中药注射剂
不合理医嘱
合理用药
PIVAS
Traditional Chinese medicine(TCM)injections
irrational prescription
rational drug use
