上海中医药大学附属龙华医院2016－2017年华蟾素注射液住院医嘱专项点评及分析

许永 王坤 周昕 杨铭 徐俐伟

摘要：目的  对上海中医药大学附属龙华医院（以下简称“龙华医院”）住院患者华蟾素注射液使用情况进行点评及分析，为提高医嘱质量及促进合理用药提供参考。方法  采用龙华医院处方分析系统筛选2016年12月1日-2017年12月1日使用华蟾素注射液住院医嘱，共计753例患者12 827份医嘱。对其适应证、用法用量、联合用药及不良反应进行点评及分析，判断其用药合理性。结果  不合理用药医嘱4953份（38.61%），主要问题包括溶媒不适宜、超剂量使用、重复用药、药物相互作用。结论  龙华医院使用华蟾素注射液的住院医嘱存在不合理情况，临床药师应加强与医师交流，规范医嘱用药，更好地为临床提供药学服务，促进合理用药。

关键词：华蟾素注射液;专项点评;合理用药;医院药学

中圖分类号：R288    文献标识码：A    文章编号：1005-5304（2019）12-0129-03

DOI：10.3969/j.issn.1005-5304.2019.12.029   开放科学（资源服务）标识码（OSID）：

Specific Comments and Analysis on 2016–2017 Inpatient Prescriptions Using Huachansu Injection in Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine

XU Yong^1，2， WANG Kun^1，2， ZHOU Xin²， YANG Ming²， XU Liwei³

1. Traditional Chinese Medicine Hospital of Lu'an， Lu'an 237001， China;

2. Longhua Hospital Shanghai University of Traditional Chinese Medicine， Shanghai 200032， China;

3. Suzhou Hospital of Traditional Chinese Medicine， Suzhou 215009， China

Abstract： Objective To comment and analyze inpatient prescriptions using Huachansu Injection in Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine （hereinafter referred to as “Longhua Hospital”）; To provide references for improving the quality of inpatient prescriptions and promoting rational medication. Methods Longhua Hospital Prescription Analysis System was used to screen the use of Huachansu Injection in Longhua Hospital from December 1， 2016 to December 1， 2017， involving 12 827 inpatient prescriptions from 753 patients. The indications， usage and dosage， combination medication and adverse reactions were evaluated， and statistical analysis was conducted to judge the rationality of medication. Results There were 4953 unreasonable medical prescriptions， accounting for 38.61%. The main problems of unreasonable medication prescriptions： inappropriate solvent， overdose， repeated use， and drug interactions. Conclusion There is an unreasonable situation in the inpatient prescriptions of Longhua Hospital using Huachansu Injection. Clinical pharmacists should strengthen the communication with doctors， standardize the prescribed medicine， provide better pharmaceutical services for the clinic， and promote the rational medication.