南通市第一人民医院肿瘤病区抗肿瘤中成药合理应用干预前后对比分析

CJI (Traditional Chinese Medicine) - - Chinese Journal Of Information On Traditional Chin -

顾芳,陈勇

南通市第一人民医院,江苏 南通 226001

摘要:目的 评价南通市第一人民医院(以下简称“我院”)肿瘤病区抗肿瘤中成药合理用药评估及干预专项行动的效果,促进临床合理用药。方法 收集我院肿瘤病区 2015 年 4 月和 10月的出院病历,分析中成药不合理用药的类型,并进行统计分析。结果 我院肿瘤病区存在中成药不合理用药病历由 39.45%下降至 18.49%,不合理用药医嘱由 11.49%下降至 3.45%,各类不合理用药类型比例干预前后比较差异有统计学意义。结论 经过半年专项整治,我院肿瘤病区抗肿瘤中成药的合理用药水平得到了提高。关键词:肿瘤;中成药;医院药学

DOI: 10.3969/j.issn.1005-5304.2017.02.032

中图分类号: R288 文献标识码: A 文章编号: 1005-5304(2017)02-0117-03

Comparison and Analysis of Rational Use of Antineoplastic Chinese Patent Medicine before and after Intervention in the Tumor Ward of Nantong First People’s Hospital

GU Fang, CHEN Yong (The First People's Hospital of Nantong, Nantong 226001, China)

Abstract: Objective To evaluate the effect of the assessment of intervention of rational use and special initiative of antineoplastic Chinese patent medicine in tumor ward of Nantong First People’s Hospital (hereinafter referred to as “the hospital”); To facilitate the rational use of medicine in clinical setting. Methods Medical records of discharged patients in April and October 2015 were collected, and various types of irrational use of Chinese patent medicine was analyzed and put into statistical analysis. Results The proportion of medical records of irrational use of Chinese patent medicine declined from 39.45% to 18.49%; the percent of irrational prescription order sheet declined from 11.49% to 3.45%; the differences of variors irrational medicine use before and after the intervention were statistically significant. Conclusion The status of the rational use of antineoplastic Chinese patent medicine in tumor ward is improved after half- year special intervention and correction initiative.

Key words: tumor; Chinese patent medicine; hospital pharmacy

随着中成药不合理使用引发的药物不良反应增多,临床药师干预中成药合理使用迫在眉睫。肿瘤患者药品使用复杂,具抗肿瘤作用的中成药有效成分一般药性剧烈甚至有毒性,而肿瘤患者需长期服药,因此,加强肿瘤患者合理使用中成药的干预,对临床用药的安全、有效、经济性具有重要意义。南通市第一人民医院(以下简称“我院”)肿瘤病区 基金项目:南通市卫计委青年基金(WQ2015024)通讯作者:陈勇,E-mail:281499759@qq.com 自 2015 年 5月开展为期半年的抗肿瘤中成药合理用药评估与干预专项行动,取得满意效果。兹总结如下。

1 资料与方法

1.1 一般资料

收集我院2015年4月和10月肿瘤病区出院病历,结合临床药师查房记录,利用合理用药信息支持系统( PASS)分析其医嘱合理性,对PASS 分析结果再次进行分析,排除误报结果。

1.2 用药合理性的判定标准

根据《处方管理办法》(卫生部令〔2008〕53

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