目的 對(duì)南京醫(yī)科大學(xué)附屬兒童醫(yī)院靜脈用藥集中調(diào)配中心審核干預(yù)的醫(yī)囑進(jìn)行統(tǒng)計(jì)分析，為臨床兒科合理用藥提供參考依據(jù)。方法 將2017年1~9月南京醫(yī)科大學(xué)附屬兒童醫(yī)院靜脈用藥集中調(diào)配中心34 807組醫(yī)囑數(shù)據(jù)進(jìn)行歸類統(tǒng)計(jì)。結(jié)果 審核的醫(yī)囑中不合理醫(yī)囑占1.59%，主要因素包括溶媒選用不當(dāng)、配制藥品濃度不當(dāng)、給藥劑量不當(dāng)，用法不當(dāng)和錄入錯(cuò)誤，構(gòu)成比分別為7.58%、11.73%、15.88%、6.32%和58.48%。結(jié)論 藥師通過(guò)審核醫(yī)囑，能及時(shí)介入不合理醫(yī)囑并進(jìn)行干預(yù)，降低臨床靜脈給藥不良反應(yīng)的發(fā)生率，保證兒童用藥合理性和安全性，提升兒科用藥的專業(yè)化。

Objective To statistically analyze the intervened prescriptions by examining in the pharmacy intravenous admixture service of Children's Hospital of Nanjing Medical University from January to September in 2017, so as to provide a reference for clinical pediatric rational drug use. Methods The data on 34 807 groups of medical prescriptions were classified and collected from the pharmacy intravenous admixture service of Children's Hospital of Nanjing Medical University from January to September in 2017.Results The irrational medical prescriptions accounted for 1.59% of the total medical prescriptions checked. The irrational factors included improper selection of solvents, improper preparation of drug concentration, incorrect dosage, improper medication, and typing errors, and the constituent ratio was 7.58%, 11.73%, 15.88%, 6.32%, and 58.48%. Conclusion Irrational medical prescriptions can be found and intervened in time by examination of prescriptions of pharmacists, which not only can reduce the incidence of intravenous administration clinical adverse reactions, but also ensure the rationality and safety of children's medication, and will promote pediatric specialization.