目的 了解该院肿瘤住院患者的用药情况,为提高临床合理用药水平提供参考.方法 随机抽取该院2015年7月—2016年6月肿瘤内科、呼吸内科及普外科1200份肿瘤住院患者的病历,以《医院处方点评管理规范(试行)》等为依据,对病历医嘱的规范性及合理性进行分析、评价.结果 所抽查的1200份病历中,用药医嘱合理病历为972份(81％),不合理病历228份(19％).不合理用药主要包括:适应证不适宜、溶媒量不合理、遴选药品不适宜、给药剂量不合理、给药频次不合理、给药途径不合理、溶媒选择不适宜、联合用药不适宜及重复用药等.结论 通过对肿瘤住院患者用药医嘱的点评,可以提高医疗质量,保障患者的用药安全.%Objective To investigate the clinical medication in the cancer inpatients of our hospital so as to provide references for im-proving rational drug use level. Methods A total of 1200 medical records of the inpatients in department of oncology,respiratory and general surgery of Nanjing First Hospitalfrom July 2015 to June 2016 were randomly collected for analysis and evaluation with regard to the rationality of the medication orders in accordance with " Hospital prescription review management standard (trail)" and other relat-ed regulations. Results 1200 medical records were reviewed,972(81％ ) were rational versus 228(19％ ) irrational. The irrationality manifested as inconformity between drugs and clinical diagnosis,improper menstruum dosage,irrational drug choice,improper drug dos-age,irrational interval of drug administration,irrational drug delivery route,irrational solvents,improper drug combinations and repeated medication. Conclusions Pharmacists could help to improve the quality of medical treatment and ensure clinical medication of cancer inpatients.
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