处方分析论文

医药学院学生学业作品作品题目：京州县人民医院2016年7-9月门诊、

急诊处方分析

作品形式：论文

学生姓名：陈皮球

学号：

专业：药学

班级：药学2016-2

指导教师： xxx

完成日期 2017 年4月10日

京州县人民医院2016年7-9月门诊、急诊处方分析

【摘要】目的：通过对门急诊处方书写常见问题的分析，了解门、急诊抗生素等药品不合理使用情况，促进临床合理用药水平的提高。方法：抽取京州县人民医院2016年7-9月份的门急诊处方，进行专门的点评、统计和分析。结果：门急诊处方共抽取7171张，其中抗菌药物处方4541张，非抗菌药物处方2630张。处方总体合格率73.14%（抗菌药物处方合格率73.84%，非抗菌药物处方合格率71.94%）。并对几个突出问题，不同的类型的处方各自存在的问题，进行举例分析。结论：门急诊处方合格率有待提高，抗菌药物等其他药物存在滥用，需要进一步加强《处方管理办法》、《抗菌药物临床应用指导原则(2015年) 的学习。

【关键词】门、急诊处方；抗生素;合理用药；处方分析

[Abstract] Objective: to analyze the common problems of prescriptions in outpatient and emergency departments, to understand the irrational use of antibiotics in the outpatient and emergency departments, and to improve the level of rational drug use in clinic. Methods: the prescriptions of outpatient and emergency department of Jinzhou People's Hospital from 2016 to were collected and analyzed. Results: a total of 7171 prescriptions were collected from the outpatient and emergency department. Among them, there were only about 4541 prescriptions of antibiotics, and there were no antibiotics prescriptions of 2630. The overall qualified rate of prescription was 73.14% (the qualified rate of antibiotic prescription was 73.84%, and the rate of non antibiotic prescription was 71.94%). And some outstanding problems, different types of prescriptions for each of the existing problems, for example analysis. Conclusion: the prescription rate of outpatient and emergency treatment needs to be improved, and the abuse of antibiotics and other drugs, the need to further

strengthen the "prescription management approach", "the guiding principles of clinical application of antibacterial drugs (2015) study.

[Key words] emergency prescriptions; antibiotics; rational use of drugs; prescription analysis

目录

引言 --------------------------------------------------------------------- 5 1.资料与方法 ------------------------------------------------------------- 5

1.1 资料来源--------------------------------------------------------- 5

1.2 点评分析方法---------------------------------------------------- 5

2.点评结果及其分析 ------------------------------------------------------- 6

2.1 处方的基本指标--------------------------------------------------- 6

2.2 常见问题分析----------------------------------------------------- 6

2.2.1诊断与用药不符--------------------------------------------- 6

2.2.2用法用量的问题--------------------------------------------- 7

2.2.3重复联合用药问题------------------------------------------- 7

2.2.4 其他常见问题----------------------------------------------- 8

2.3 不同药物处方分析------------------------------------------------- 8