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目的:以辨证用药保证患者用药安全,防止退药的发生。方法:使用Excel统计分析我院2007年1～12月中成药门诊患者退药记录。结果:195例中成药退药原因中因不良反应导致患者退药排第一位,依次为药物使用与说明书不符,禁忌证,退药的科室以西医为主。结论:应进一步规范中成药的使用,加强综合医院医生中医药基础知识的培训,辨证施治应用中成药,减少因药证不符、禁忌证等原因而发生的患者退药,促进合理用药。
Objective: To ensure the safety of drug use in patients with syndrome differentiation and prevent the occurrence of drug withdrawal. Methods: Using Excel to analyze the patient’s drug withdrawal records from January to December 2007 in our hospital. RESULTS: Among the 195 cases of Chinese patent medicine withdrawal, due to adverse reactions, the patients ranked first in drug withdrawal, followed by inconsistent use of the drug with the instructions, and contraindications. The department of medicine withdrawal was mainly Western medicine. Conclusions: The use of proprietary Chinese medicines should be further regulated, the training of basic knowledge of traditional Chinese medicine practitioners in general hospitals should be strengthened, Chinese patent medicine should be used for syndrome differentiation and treatment, and drug withdrawals should be reduced due to reasons such as inconsistent drug licenses and contraindications, and rational drug use should be promoted.