邓义卫　黄良　钟邱　罗旭明　李少婷　罗少玲

【摘 要】 目的：點评2018年度湛江中心人民医院门诊中药处方不合理的原因，为临床合理开具中药处方提供依据。方法：随机在合理用药监测系统（Prescription Automatic Screening System，PASS）抽取门诊中药处方2100张进行专家点评。结果：抽取的2100张处方中，不合格处方有470张，不合格率为22.38%;处方年龄分布以31～60岁年龄段的患者居多，共计1603张（占76.33%）;处方药味数以7～13味中药和14～19味中药的处方份数最多，共计1695分（占80.71%）;单味药和2味药的处方份数最少，仅占总处方的比例分别为0.48%和1.10%。结论：中药处方基本合格，开展中药处方点评并加强相关干预措施，有助于保证中药处方的科学规范，提升医院用药的有效性和安全性，保障患者的生命安全。

【关键词】 中药处方;点评;不合理原因;干预措施

【中图分类号】R19 【文献标志码】 A【文章编号】1007-8517（2019）12-0114-03

Chinese Medicine Prescription Review and Intervention Measures in Our Hospital in 2018

DENG Yiwei HUANG Liang ZHONG Qiu LUO Xuming LI Shaoting LUO Shaoling

Zhanjiang Central Peoples Hospital， Zhanjiang 524000， China

Abstract： Objective  To review the reasons for the unreasonable prescription of Chinese medicine in our hospital in 2018， and to find out the specific intervention measures to provide a basis for clinically prescribed Chinese medicine prescriptions. Methods 2100 outpatient prescriptions were randomly selected from the Prescription Automatic Screening System （PASS） for expert evaluation. Results In the 2100 prescriptions， 470 were unqualified， with a failure rate of 22.38%.The age distribution of prescriptions was mostly in patients aged 31～60， with a total of 1603 prescriptions （76.33%）.The number of prescriptions of 7～13 kinds of traditional Chinese medicine and 14～19 kinds of traditional Chinese medicine is the largest， with a total of 1695 points （80.71%）.The number of prescriptions of single and two medicines was the least， accounting for 0.48% and 1.10% of the total prescriptions respectively.Conclusion The prescription of traditional Chinese medicine in our hospital is basically qualified. Carrying out the prescription review of traditional Chinese medicine and strengthening relevant intervention measures will help to ensure the scientific standard of Chinese medicine prescription， improve the effectiveness and safety of hospital medication， and ensure the safety of patients.

Key words：Chinese Medicine Prescription;Unreasonable Reasons;Comments;Interventions

中药是指在中医药理论指导下用于预防、治疗人的疾病，有目的的调节人的生理功能的药物，是我国劳动人民几千年来与疾病斗争的过程中，通过实践不断积累下来的宝贵财富[1]。随着我国综合国力的增强，中药在世界舞台的认可度也在不断提升，我国中药处方开具的数量也在不断增加。中药对于保障人类的健康有着很好的效果，中药处方在临床所占据的比例越来越高，但医院多少都存在一些中药处方开具不合格的现象。故我院根据2018年《处方管理办法》[2]最新版的标准，在2018年1月至12月中，随机在PASS[3]中抽取门诊中药处方2100张进行专家点评，以提高我院中药处方的合理性和有效性，现报道如下。……