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[摘要]
目的 调查天津市儿童医院2014年9月小儿肺热咳喘口服液的处方应用情况。方法 随机抽取天津市儿童医院2014年9月门急诊含有小儿肺热咳喘口服液的处方共300张,对小儿肺热咳喘口服液的应用情况和合理性进行总结分析。结果 小儿肺热咳喘口服液主要用于小儿肺炎、支气管炎、上呼吸道感染的治疗。开具小儿肺热咳喘口服液的处方以单独用药为主,占处方总数的77.3%。联合用药以联用祛痰剂和解表剂为主,分别占联用总处方数的35.3%、25.0%。开具该药的科室以内科门诊为主,共占处方总数的56.3%。小儿肺热咳喘口服液的不合理使用主要包括不规范和不适宜处方两种,分别以临床诊断不规范和用法、用量不适宜为主,占不合理处方总数的30.9%、27.3%。结论 天津市儿童医院小儿肺热咳喘口服液的使用基本合理,但仍需进一步提高处方质量,规范临床合理用药。
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[Abstract]
Objective To investigate the prescription application of Xiao'er Feire Kechuan Oral Solution (XFKOS) in Tianjin Children's Hospital in September 2014. Methods By randomly taking 300 prescriptions of XFKOS in outpatient and emergency departments of Tianjin Children's Hospital in September 2014, the application and rationality of Xiao'er Feire Kechuan Oral Solution was reviewed and analyzed. Results XFKOS was mainly used for treating infantile pneumonia, bronchitis, and upper respiratory tract infection. The prescriptions of XFKOS were mainly used alone, which accounted for 77.3% of all the prescriptions. The combined use of the drugs were mostly combined with expectorant agents and reconciliatory agents, which accounted for 35.3% and 25.0% of all the combined prescriptions. The drug was chiefly prescribed by the outpatient department of internal medicine, which accounted for 56.3% of all the prescriptions. Irrational usage of XFKOS mainly included non-standard and inappropriate prescriptions. Most of irrational prescriptions were that clinical diagnosis was abnormal and usage and dosage was indisposition, which accounted for 30.9% and 27.3%, respectively. Conclusion The application of XFKOS in Tianjin Children's Hospital is rational on the whole, but it is necessary to further improve the quality of prescriptions, and standardize the rational use in clinic.
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