天津市医院门、急诊输液处方合理性分析.PDFVIP

天津市医院门、急诊输液处方合理性分析 * 卜一珊，徐彦贵 ，陈凡，任海霞(天津市第一中心医院，天津 300192) 摘要：目的 了解天津市门、急诊输液用药的安全与合理性的整体情况。方法 选取天津市多家二、三级医疗机构，随 机抽取门急诊输液处方，记录患者及处方的基本情况，对处方药品的用法用量、配伍情况、给药途径等分别进行合理性 评价。原始数据采用 EXCEL 进行分类、汇总、筛选，统计数据采用 SPSS 11.0 计算。结果 本研究共涉及各类医疗机构 11 个，抽取 4 d 输液处方共计 8 188 张。单张输液处方的平均药品数为每人 3.00 种，抗菌药物处方比例为 57.72%。处方 给药剂量与给药间隔合理的比例分别为 84.99%和 76.00%；药品间可以安全配伍的处方占 76.85%；给药途???及联合用药 合理处方的比例分别为 94.91%和 97.40%。结论 天津市门急诊输液处方存在给药剂量、给药间隔以及输液药品间的配伍 不合理现象。临床工作中，药师应发挥自身药学知识与理论的作用，尽量避免不合理输液。 关键词：输液；处方分析；合理用药 中图分类号：R19 文献标志码：A 文章编号：1007-7693(2010)07-0652-03 Analysis on the Rationality of Transfusion Prescriptions in Tianjin BU Yishan, XU Yangui*, CHEN Fan, REN Haixia(Tianjin First Central Hospital, Tianjin 300192, China) ABSTRACT: OBJECTIVE To investigate the safety and rationality status of transfusion prescriptions in Tianjin. METHODS Prescriptions of 11 hospitals were drawn randomly. The rationality of dosage, compatibility and administration route was evaluated respectively. Eleven primitive data were disposed by EXCEL, and the statistic data were disposed by SPSS 11.0. RESULTS A total of 8 188 prescriptions were selected. The percentage of reasonable prescription about dosage and dosing interval were 84.99% and 76.00%. The prescriptions with safety compatibility were only 76.85%. CONCLUSION Transfusion prescriptions in Tianjin were safety and reliable overall while the safety of compatibility still needs to be improved. Apothecary should avoid improper transfusion prescriptions by their professional knowledge and theoretic. KEY WORDS: transfusion; prescription analysis; rational administration 静脉滴注是临床常用的重要给药途径，将药 述 4 d 各医疗机构门、急诊输液药品处方。 液直接滴入人体静脉，具有给药剂量准确、起效 1.3 分析方法 迅速等优点，除住院患者外，门急诊患者使用率