康学++++++邢爽++++++许保海

    [摘要] 目的 对门诊不合理中成药处方问题进行探讨并提出对策。 方法 以《医院处方点评管理规范》《中成药临床应用指导规则》和药品说明书为依据，对2016年7月～2017年7月北京积水潭医院门诊不合理中成药处方进行归类并加以分析点评。 结果 不合理用药情况归纳为诊断与用药不符、联用不合理、医师未签字、用法错误、处方颜色用错、超说明书最大用量、儿童用量不适宜、大处方、禁忌证用药、开药超限量和疑似重复用药共11个方面。不合理用药占比较大的科室主要有中医科、手外科、心内科、矫形骨科及干部科等。 结论 处方的事前审核干预对患者的用药安全意义重大，医师和药师应不断提升中医药相关知识水平，完善不合理处方监察的各项措施，规范合理使用中成药。

    [关键词] 中成药；合理用药；干预；处方分析

    [中图分类号] R969.3 [文献标识码] A [文章编号] 1673-7210(2017)10(c)-0189-04

    Analysis of irrational Chinese patent medicine prescription in outpatient department

    KANG Xue XING Shuang XU Baohai

    Chinese Pharmacy， Beijing Jishuitan Hospital， Beijing 100035， China

    [Abstract] Objective To discuss the prescription of irrational Chinese patent medicine in outpatient department and put forward measures. Methods Based on Hospital prescription review management standard， Clinical application guidelines of Chinese patent medicine and the drug instructions. The prescriptions of irrational Chinese patent medicine in the outpatient from July 2016 to July 2017 were classified and analyzed. Results The irrational use of drugs was summed up as follows： inconsistent of diagnosis and prescriptions ......