[摘要] 目的 分析北京市大興區人民醫院婦兒藥房兒科退藥目前狀況，以減少或避開退藥現象的發生，提高處方質量。 策略 收集本院2013年7～12月婦兒藥房兒科退藥處方306張，對退藥理由進行分析，提出應策略略。 結果 婦兒藥房退藥理由以患兒家長要求退藥為主，其次為醫師處方不當及藥物不良反應；退藥品種以自費處方及中西藥注射劑為主。 結論 為降低兒科退藥率，醫院應加強藥物的監督管理，提高醫務工作者的責任心，加強藥劑科與臨床科室的溝通，提高藥師指導家長給患兒合理用藥的服務水平，完善退藥制度，減少退藥現象的發生，保證患者用藥安全。
 A [文章編號] 1674-4721（2014）09（c）-0149-03
Analysis and countermeasures of pediatric drug withdrawal prescriptions in women and children′s pharmacy of our hospital
TIAN Hong-yan LI Hai-ping JIANG Shuo-dan
Department of Pharmacy，People′s Hospital of Daxing District in Beijing City，Beijing 102600，China
[Abstract] Objective To analyze the current situation of pediatric drug withdrawal in women and children′s pharmacy of our hospital in order to reduce or avoid the occurrence of drug withdrawal，improve prescription quality. Methods 306 pediatric drug withdrawal prescriptions in women and children′s pharmacy of our hospital from July to December 2013 were collected. The causes of drug withdrawal were analyzed and the countermeasures were proposed. Results The main cause of drug withdrawal in women and children′s pharmacy was parent-required drug withdrawal，followed by improper physician prescriptions and adverse drug reactions.The main types of withdrawal drugs were self-paying prescriptions and traditional Chinese and western medicine injections. Conclusion In order to reduce the pediatric drug withdrawal rate，the hospital should enhance drug supervision and management，promote responsibility of medical staff，strengthen the communication between pharmacy department and clinical department，advance the pharmacist′s service level of guiding parents to provide rational medication to children，improve drug withdrawal system，reduce the occurrence of drug withdrawal and ensure the patients′ medication safety.
[Key words] Women and children′s pharmacy；Drug withdrawal；Cause analysis；Countermeasures