目的 對(duì)天津市兒童醫(yī)院門(mén)診中成藥的處方進(jìn)行分析,為臨床合理用藥提供指導(dǎo)。方法 隨機(jī)抽取天津市兒童醫(yī)院2014年1月-12月的1200張門(mén)診處方,分別對(duì)中成藥使用患兒的性別及年齡、藥物作用類(lèi)別、劑型、科室分布及不合理用藥問(wèn)題進(jìn)行統(tǒng)計(jì)分析。結(jié)果 門(mén)診中成藥的使用對(duì)象主要為男性患者(59.4%),1~3歲患兒較多,占32.4%。處方中以清熱劑(占38.7%)、祛痰劑(占19.7%)和解表劑(占10.5%)的使用為主。劑型的使用以顆粒劑和口服液多見(jiàn)。開(kāi)具中成藥處方的科室以?xún)?nèi)科、中醫(yī)科和耳鼻喉科為主。中成藥的不合理使用主要包括不規(guī)范處方和不適宜處方。結(jié)論 天津市兒童醫(yī)院門(mén)診中成藥的使用基本合理,還需進(jìn)一步提高中成藥處方質(zhì)量,規(guī)范臨床合理用藥。

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.