目的 对天津市儿童医院门诊中成药的处方进行分析,为临床合理用药提供指导。方法 随机抽取天津市儿童医院2014年1月-12月的1200张门诊处方,分别对中成药使用患儿的性别及年龄、药物作用类别、剂型、科室分布及不合理用药问题进行统计分析。结果 门诊中成药的使用对象主要为男性患者(59.4%),1~3岁患儿较多,占32.4%。处方中以清热剂(占38.7%)、祛痰剂(占19.7%)和解表剂(占10.5%)的使用为主。剂型的使用以颗粒剂和口服液多见。开具中成药处方的科室以内科、中医科和耳鼻喉科为主。中成药的不合理使用主要包括不规范处方和不适宜处方。结论 天津市儿童医院门诊中成药的使用基本合理,还需进一步提高中成药处方质量,规范临床合理用药。

Objective To analyze the Chinese patent medicine (CPM) prescriptions in outpatient department of Tianjin Children's Hospital, and in order to provide a guide for rational use of drugs in clinic. Methods By extracting 1 200 outpatient prescriptions in Tianjin Children's Hospital from January 2014 to December 2014, sex and age of children, category, dosage form, and department distribution of CPM, and unreasonable prescriptions were reviewed and analyzed. Results The use of CPM in outpatient were mainly male patients (59.4%). Outpatients used CPM were focused on the children who are 1 to 3 years old, taking 32.4%. The prescriptions were mainly antipyretic agents (38.7%), expectorant agents (19.7%), and reconciliatory agents (10.5%). The granules and oral liquor were mainly used. The CPM was chiefly prescribed by the departments of internal medicine, the Chinese medical and ear-nose-throat. The irrational prescriptions included irregular and unadvisable prescriptions. Conclusion The use of CPM is rational in Tianjin Children's Hospital on the whole. While the quality of prescriptions needs to be further improved, and the rational use of CPM should be standardized in clinic.