今日药学

2020, v.30(12) 848-850+857

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合理用药管理系统结合人工审核的模式对中成药处方点评的应用效果
The Application Effect of Rational Drug Use Management System Combined with Manual Audit on the Prescriptions Review of Chinese Patent Medicine

王小平;郑小清;邓义卫;黄春华;李琼;
WANG Xiaoping;ZHENG Xiaoqing;DENG Yiwei;HUANG Chunhua;LI Qiong;Central People's Hospital of Zhanjiang;

摘要(Abstract):

目的探讨我院合理用药管理系统结合人工审核的模式对中成药处方点评的应用效果。方法于2019年1~12月(实施后)在我院实施合理用药管理系统结合人工审核的模式对中成药处方点评,并每月随机抽取80张中成药处方进行统计分析,同期选取2018年1~12月(实施前)相同数量的处方共960张进行统计分析。比较实施前后中成药处方基本情况、中成药不合理处方类型及我院主要中成药不合理用药项目。结果实施合理用药管理系统结合人工审核的模式前我院中药注射剂使用率、基本药物使用率、药品通用名使用率分别为12.70%、45.20%、73.10%,实施后中药注射剂使用率降低为4.20%,基本药物使用率升高至81.20%,药品通用名使用率升高至97.20%,差异有统计学意义(P<0.05)。实施前我院不规范处方、超常处方、不适宜处方率分别为44.58%、9.27%、4.27%,不合理率为58.13%,而实施后不规范处方、超常处方、不适宜处方率分别为20.63%、6.77%、1.88%,不合理率显著降低,仅为29.27%,差异有统计学意义(P<0.05)。实施前我院用法用量不适宜、重复用药、用药与诊断不符分别为5.52%、1.67%、0.94%,不合理率为8.13%,而实施后用法用量不适宜、重复用药、用药与诊断不符分别为2.71%、0.94%、0.21%,不合理率为3.85%,差异有统计学意义(P<0.05)。结论合理用药管理系统结合人工审核的模式对中成药处方点评明显降低了我院不合理处方率,有助于我院合理使用中成药。
OBJECTIVE To explore the application effect of rational drug use management system combined with manual audit mode on the evaluation of Chinese patent medicine prescriptions. METHODS From January to December 2019(after implementation), the rational drug use management system was implemented in our hospital, combined with the mode of manual audit to comment on the prescriptions of Chinese patent medicines.And 80 prescriptions of Chinese patent medicine were randomly selected each month for statistical analysis. At the same time, 960 prescriptions of the same number from January 2018 to December 2018(before implementation) were selected for statistical analysis. Then Chinese patent medicine prescription basic situations, Chinese patent medicine unreasonable prescription types and our hospital main Chinese patent medicine unreasonable use projects were compared before and after the implementation. RESULTS Before the implementation of the mode of rational drug use management system combined with manual audit, the utilization rate of traditional Chinese medicine injections, national essential drugs and generic drugs name were 12.70%, 45.20% and 73.10% respectively. After the implementation, the utilization rate of traditional Chinese medicine injections were decreased to 4.20%, the utilization rate of national essential drugs were increased to 81.20%, and the utilization rate of generic drugs name were increased to 97.20%, There was significant difference statistically(P<0.05). Before the implementation, the rates of nonstandard prescriptions, abnormal prescriptions and inappropriate prescriptions were 44.58%, 9.27% and 4.27%, respectively. And the unreasonable rates were 58.13%. After the implementation, the rates of nonstandard prescriptions, abnormal prescriptions and inappropriate prescriptions were 20.63%, 6.77% and 1.88%, respectively. And the unreasonable rates were significantly reduced, only 29.27%. There was significant difference statistically(P<0.05). Before the implementation, the inappropriate usage and dosage, repeated usage, incompatible diagnosis and medication were 5.52%, 1.67%, 0.94%, and the unreasonable rate was 8.13%. While after the implementation, the inappropriate usage and dosage, repeated use, incompatible diagnosis and medication were 2.71%, 0.94%, 0.21%. And the unreasonable rate was 3.85%. There was significant difference statistically(P<0.05). CONCLUSION The rational drug use management system combined with the mode of artificial audit can significantly reduce the rate of irrational prescriptions in our hospital, which is helpful to the rational use of Chinese patent medicine in our hospital.

关键词(KeyWords): 合理用药管理系统;中成药;处方点评
rational drug use management system;Chinese patent medicine;prescription review

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作者(Author): 王小平;郑小清;邓义卫;黄春华;李琼;
WANG Xiaoping;ZHENG Xiaoqing;DENG Yiwei;HUANG Chunhua;LI Qiong;Central People's Hospital of Zhanjiang;

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