摘要
目的分析我院静脉配置中心不合理处方原因,提出针对性建议。方法对静脉配置中心30152份处方中的173份不合理处方进行分析。结果不合理处方中,配伍不当占44.51%,其次是溶媒选用不当(40.46%)。配伍不当的处方中,以2种药物的配伍为主(67.53%),以药物理化性质冲突为主要原因(63.64%)。结论理化性质冲突所致的配伍不当是不合理处方的首要原因。建议临床医师重视对药物理化性质的认识。另外不能忽视正确溶媒的选用。
Objective To analyze the unreasonable prescriptions of pharmacy intravenous admixture services(PIVAS),and give pertinent suggestions.Methods 173 cases of unreasonable prescriptions were analyzed from 30152 cases of prescriptions.Results Among the Unreasonable prescriptions,drug combinations accounted for 44.51%,and the second was the ratio of inappropriate choices of solvents(40.46%).Most of the drug combinations contained two kinds of medicine(67.53%),and the physical or chemical confliction was the main reason(63.64%)for unreasonable combinations.Conclusion The physical or chemical confliction of medicine is the primary reason for unreasonable prescriptions,and we suggest that doctors should pay more at ention to the physical or chemical properties of medicine.Moreover,appropriate choice of solvents should not be ignored.
作者
林琳
吴霞
黄家富
张菊
蒋勤
LIN Lin;WU Xia;HUANG Jia-fu;ZHANG Ju;JIANG Qin(The 102nd Hospital of PLA,Changzhou 213001,Jiangsu,China)
关键词
静脉药物配置
合理用药
不合理处方
Intravenous admixture
Rational administration
Unreasonable prescription
