罂粟壳的临床应用与管理现状  

Clinical Application and Management of Papaver somniferum

作　　者：陈鸣[1] 

机构地区：[1]四川省医学科学院/四川省人民医院药学部,成都610072

出　　处：《中国药房》2016年第25期3461-3463,共3页China Pharmacy

摘　　要：目的:为进一步加强罂粟壳经营与使用的监督管理提供参考。方法:参考相关文献并结合实际工作,简述罂粟壳的一般概况、临床应用及毒性反应;根据现行相关法规,揭示罂粟壳在临床应用与管理方面存在的问题,并提出对策与建议。结果与结论:罂粟壳属于传统中药饮片,同时具有毒性和成瘾性,是唯一列入麻醉药品管理的中药饮片;临床上主要用于镇咳、止泻、止痛等疾患。已有相关法规规定了其生产、采购、使用与研发的具体要求,但其执行不严格,使用不合理及滥用情况仍然存在。建议国家食品药品监督管理及卫生行政部门不断完善罂粟壳相关法规体系及其细则,强化监管;在罂粟壳的生产、经营及使用等单位严格执行相关法规;同时,国家相关主管部门应加大宣传与培训力度。OBJECTIVE： To provide a reference for further strengthening the supervision and administration of the management and use of Papaver somniferum. METHODS： The general information, clinical application and toxic reactions of P somniferum were briefly described by reference to relevant literatures and on the basis of the actual work. According to current laws and regula- tions, the existing problems about the clinical application and management of P somniferum were revealed, and relevant counter- measures and suggestions were put forward. RESULTS ＆ CONCLUSIONS： Both toxic and addictive, P somniferum is the only tra- ditional Chinese herbal medicine covered by narcotic drug management. It is mainly used in clinical practice to relieve-cough, diar- rhea and pain, etc. Although relevant laws and regulations have provided the specific requirements for the production, purchase, use and research ＆ development of P. somniferum, slack enforcement of the laws and regulations, irrational use and abuse still ex- ist. It is suggested that State Food and Drug Administration and health administrative departments should constantly improve rele- vant law and regulation system and detailed regulations, strengthen supervision and administration, and strictly enforce relevant laws and regulations at the units engaged in the production, management and use of P. somniferum. Meanwhile, competent authori- ties should strengthen publicity and training.

关 键 词：罂粟壳 麻醉药品 管理 合理使用 

分 类 号：R95[医药卫生—药学]