药物不良反应的特点及合理用药对策

发布时间：2018-05-02 16:48

本文选题：西药+中药 + 不良反应　；参考：《北方药学》2016年11期

【摘要】：目的:探究药物不良反应的特点及合理用药对策。方法:对本院2015~2016年门诊部开出的2000张药物处方进行回顾性分析,分析药物不良反应的特点,积极探索合理用药对策,降低药物不良反应发生率,提高用药安全水平。结果:2000张药物处方中,不合理用药形式主要为:药物制剂联用不合理、药物使用方法不当、选药不合理、药物剂量不合理、滥用药物等,103张处方不合理,所占比例为5.15%(103/2000),药物制剂联用不合理的有32张,所占比例为31.07%(32/103),药物使用方法不当的有29张,所占比例为28.16%(29/103)选药不合理的有25张,所占比例为24.27%(25/103),药物剂量不合理的有11张,所占比例为10.68%(11/103),滥用药物的有6张,所占比例为5.82%(6/103)。结论:医院需要强化不良反应控制及监督管理,做到科学选药,保证药物联用、药物使用方法的准确性,保证药物剂量具有针对性(结合患者病情),严禁药物滥用,才能有效的降低药物不良反应发生率,提高用药安全水平。
[Abstract]:Objective: to explore the characteristics of adverse drug reactions and rational drug use countermeasures. Methods: 2000 prescriptions of drugs from the outpatient department of our hospital from 2015 to 2016 were analyzed retrospectively, and the characteristics of adverse drug reactions were analyzed, and rational drug use countermeasures were actively explored to reduce the incidence of adverse drug reactions and improve the safety level of drug use. Results of the 2000 prescriptions, the main forms of irrational use of drugs were: irrational combination of drug preparations, improper methods of drug use, unreasonable selection of drugs, unreasonable dosage of drugs, and 103 prescriptions for drug abuse, etc. The proportion was 5.15 / 103 / 2000, and there were 32 irrational drug formulations, 31.07% 32 / 103%, 29 improper drug use methods, and 28.16% 29% 103.) 25 of them were unreasonable, the proportion was 24.2725 / 103C, and 11 of them had unreasonable doses. The proportion is 10.68 / 10 / 10, and there are six cases of drug abuse, and the proportion is 5.82% / 10 3 / 10. Conclusion: it is necessary to strengthen the control and supervision of adverse reactions, to select drugs scientifically, to ensure the accuracy of drug use methods and to ensure that the dosage of drugs is targeted (combined with the patient's condition, drug abuse is strictly prohibited. In order to effectively reduce the incidence of adverse drug reactions, improve drug safety level.
【作者单位】：广东省佛山市第一人民医院;
【分类号】：R95

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