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目的分析医院麻醉药品不合理用药处方的原因及整改措施,规范麻醉药品的合理应用。方法运用回顾性调查方法,通过调取医院2014-2015年住院麻醉药品处方1~3级点评不合理处方607例,筛选出麻醉药品不合理用药处方236例,依据不合理用药处方分别对涉及科室、临床用途、处方类型进行分类,用帕累托图分析造成不合理用药处方的主要原因。结果统计不合理用药科室:普外科处方构成比36.44%,肿瘤内科构成比24.58%;不合理用药临床用途:麻醉辅助用药处方构成比35.17%,癌痛镇痛用药处方构成比28.81%;不合理用药处方类型:不合理用药类型中用法、用量不适宜,处方构成比48.73%,药品剂型或给药途径不适宜的和适应证不适宜的处方分别占处方构成比的19.07%、13.98%,均为主要因素。结论用帕累托图分析不合理用药处方问题的主、次因素,有针对性地对产生不合理用药因素提出整改措施,可有效提高临床合理用药水平。
Objective To analyze the causes of unhealthy prescriptions for narcotic drugs in hospitals and corrective measures, and to standardize the rational application of narcotic drugs. Methods By retrospective survey, we recruited 607 unreasonable prescriptions of 1 ~ 3 prescriptions of narcotic drugs for inpatients from 2014 to 2015 in our hospital, screened 236 cases of unreasonable prescriptions of narcotic drugs, according to unreasonable prescriptions, , Clinical use, type of prescription for classification, with Pareto chart analysis of the main reasons for irrational drug prescriptions. The results of unreasonable use of medicine departments: general surgery prescription composition ratio of 36.44%, the proportion of oncology medical composition of 24.58%; irrational use of clinical medicine: narcotic anesthesia prescription composition ratio of 35.17%, cancer pain analgesic prescription composition ratio of 28.81%; unreasonable The types of prescriptions for treatment: irrational use types, inappropriate dosage, formulation ratio of 48.73%, unfavorable dosage forms or administration methods and inappropriate indications accounted for 19.07% and 13.98% of the prescription proportion, respectively As the main factor. Conclusion Using Pareto chart to analyze the main and sub-factors of irrational prescriptions, we proposed corrective measures for unreasonable use of drugs in a targeted manner, which can effectively improve the clinical rational use of drugs.