某医院中药饮片处方剂量调查  

Investigation on prescription dosage of TCM decoction pieces

作　　者：刘朵[1] 顾艳[1] 金浩[1] 徐敏[1] 顾万翔 钱芳[1] 

机构地区：[1]上海市嘉定区中医医院药剂科,上海201800

出　　处：《药学实践杂志》2015年第5期477-480,共4页Journal of Pharmaceutical Practice

基　　金：上海市嘉定区科委卫生医疗类(2014-19)

摘　　要：目的通过对上海市嘉定区中医医院中药饮片使用剂量进行调查统计,了解该院中药饮片处方剂量现状。方法抽取该院2013年度1 000张中药饮片处方,对中药饮片使用频率、超剂量药味数、有毒中药饮片超剂量使用等进行统计分析。结果单张处方总剂量大于300g的处方占总处方数的59.6%。使用频率前10位的中药为甘草、黄芪、炒白术、茯苓、当归、丹参、炒白芍、薏苡仁、炒杜仲、陈皮,其中大部分中药饮片有不同程度的超剂量使用。有毒中药饮片也有超剂量使用现象。结论中药饮片处方超剂量使用问题突出,需改进中药饮片用药现状,确保处方合理,用药安全。Objective To find out the status of the prescription dosage of TCM decoction pieces in Jiading Hospital of Traditional Chinese Medicine（TCM） .Methods 1 000 prescriptions in 2013 were extracted ,frequency ,number of drug over-dosed ,dosage of poisonous TCM decoction pieces were analyzed .Results The total dose more than 300 grams of prescriptions accounted for 59.6% .The top 10 utility frequency of medicine were Glycyrrhizae radix et rhizoma ,Astragali radix ,Atractyl-odismacrocephalaerhizoma,Poria,Angelicaesinensisradix,Salviaemiltiorrhizaeradixetrhizoma,Paeoniaeradixalba, Coicis semen ,Eucommiae cortex ,Citri Reticulatae pericarpium ,which had varying degrees of overdose .Poisonous TCM de-coction pieces was also overdosed .Conclusion The issues of Chinese herbal medicine prescription was serious ,which need to be improved to ensure rational prescription drug safety .

关 键 词：中药饮片 超剂量 使用频率 合理用药 

分 类 号：R95[医药卫生—药学]