Problem analysis and countermeasures of irrational drug use in western medicine prescription
西药处方不合理用药的问题分析及对策

摘要

目的 探究西药处方不合理用药的问题分析及对策。方法 按照随机抽签的方式，选取我院不同科室的1000张西药处方，对其中的不合理用药的问题进行分析，并且提出相应的对策。开展时间为2020年1月至2021年6月。结果 我院2020年1月至2021年6月期间随机抽签的1000张西药处方中，共有56张不合理用药，在所抽选的西药处方总数中占比5.60%，在不合理处方比例上相比，重复用药、选药不合理、药物剂量不合理等不合理处方比例相比，不存在明显差异（P＞0.05）；在儿科、妇科、外科、内科中，其不合理用药发生率不存在明显差异（P＜0.05）；在我院随机抽签的1000张西药处方中，其中共有67例患者发生不良反应，其中在消化系统（37.31%）、皮肤黏膜系统（32.84%）发生不良反应的的占比较高。结论 临床中西药处方在用药、选药、以及药物剂量等方面存在不合理用药的问题，临床应该针对实际情况，积极提出针对性的改善对策，从而减少西药处方不合理用药的发生率。

Abstract

Objective: To explore the problem analysis and countermeasures of irrational drug use in western medicine prescriptions.
Methods According to the method of random drawing, 1000 western medicine prescriptions from different departments in our hospital were selected, the problems of irrational drug use were analyzed, and corresponding countermeasures were put forward. The launch period is from January 2020 to June 2021.
Results Among the 1000 western medicine prescriptions randomly drawn in our hospital from January 2020 to June 2021, there were 56 irrational prescriptions, accounting for 5.60% of the total selected western medicine prescriptions, and the proportion of irrational prescriptions was similar. There is no significant difference in the proportion of irrational prescriptions such as repeated medication, irrational drug selection, and irrational drug dosage (P>0.05). In pediatrics, gynecology, surgery, and internal medicine, the incidence of irrational drug use does not exist. Significant difference (P<0.05); among the 1,000 Western medicine prescriptions randomly drawn in our hospital, 67 patients had adverse reactions, of which adverse reactions occurred in the digestive system (37.31%) and the skin and mucous membranes (32.84%). The proportion is higher.
Conclusion   There are problems of irrational drug use in clinical Chinese and Western medicine prescriptions in terms of drug use, drug selection, and drug dosage. Clinical should actively propose targeted improvement measures according to the actual situation, so as to reduce the incidence of irrational drug use in Western medicine prescriptions.