中药注射剂临床合理使用干预分析

目的：对比干预前后中药注射剂临床应用的合理性，考查干预效果。方法：通过电子病历管理信息系统，按出院日期随机抽取桂林市恭城瑶族自治县人民医院2014年1-3月出院的1214份病历，作为干预前组；从2014年10-12月出院的病历中通过电子病历管理信息系统，按出院日期随机抽取1328份，为干预后组，设计调查表进行统计、分析，根据相关标准进行合理性评价。结果：干预后中药注射剂的使用率由干预前的52.55%，下降到干预后48.72%，溶媒选择的错误率由干预前的8.78%下降到干预后的1.70%，中药注射剂与其他药物联用时不冲管、同瓶混用干预前分别是34.01%和4.55%，干预后得到杜绝。结论：合理有效的干预措施可促进中药注射剂的合理应用、减少不良反应的发生。

Analysis of Intervention on Rational Use of Traditional Chinese Medicine Injections

Objective: To compare the rationality of the clinical application of traditional Chinese medicine injections before and after the intervention, in order to examine the effect of the intervention. Methods: Using the information system of electronic medical records management, 1214 medical records of patients discharged from January to March 2014 were randomly selected as the pre-intervention group by dates of hospital discharge. Meanwhile, 1328 medical records of patients discharged from October to December 2014 were randomly selected as the post-intervention group according to dates of hospital discharge through information system of electronic medical records management. Questionnaires were designed for statistical analysis, and the rationality assessment was conducted based on the relevant standards. Results: The utilization rate of TCM injections after the intervention fell from 52.55% before intervention to 48.72% after the intervention; the error rate of solvent selection fell from 8.78% before the intervention to 1.70% after the intervention; the rates of not washing the pipe when combining traditional Chinese medicine injections with other medications and mixed usage in the same bottle were 34.01% and 4.55% before the intervention, and these phenomena were eliminated after the intervention. Conclusion: Reasonable and effective interventions can promote rational use of traditional Chinese medicine injections and reduce the incidence of adverse reactions.