中药注射剂临床使用情况评估  

Assessment on Clinical Application Situation of Traditional Chinese Medicine Injections

作　　者：李连新[1] 吴海燕[1] 付燕霞[1] 

机构地区：[1]中国人民解放军北京军区总医院药剂科,北京100700

出　　处：《中国药业》2014年第1期44-45,共2页China Pharmaceuticals

摘　　要：目的分析临床使用中药注射剂现状,为临床合理用药提供参考。方法查阅2009年至2011年有关中药注射剂药品不良反应的综合报告407例,涉及文章67篇,对检索数据进行归纳、总结和分析。结果中药注射剂所致药品不良反应以小儿及老年患者、静脉滴注最常见。其原因主要为医务人员责任缺失,缺乏临床辨证,盲目用药,药物浓度及溶剂选择不当,临床中西药联用、操作不规范等。结论中药注射剂临床使用应加强医师责任意识,药师积极参与临床合理用药,规范中药注射剂合理使用,注意合理配伍和药物相互作用,建立医院管理机构和相关制度。Objective To analyze the current situation of clinical use of the traditional Chinese medicine injections in order to provide reference for clinical rational medication. Methods Four hundred and seven cases of the comprehensive report of adverse drug reactions （ADR） related to the traditional Chinese medicine injections were consulted and 67 articles were involved. The retrieved data were concluded, summarize and analyzed. Results ADR caused by the traditional Chinese medicine injections are most common in children, elderly patients and intravenous drip. The causes were mainly due to lack of responsibility of the medical staff and clinical differentia- tion, blind medication, inappropriate choice of drug concentration and solvent, clinical combination use of Chinese and Western medicine and operational non- standardization, etc. Conclusion The corresponding measures aiming at these causes are provided： strengthening the physician a sense of responsibility, pharmacist actively participating in clinical rational drug use, standardizing the rational use of tradi- tional Chinese medicine injections, paying attention to the reasonable compatibility and drug interactions and establishing the hospital management agencies and related systems.

关 键 词：中药注射剂 不良反应 合理用药 

分 类 号：R288[医药卫生—中药学]