某医院2013-2015年对肿瘤患者应用中成药的合理性分析  

Analysis of Rationality of Using Chinese Patent Medicine for Cancer Patients in a Hospital

作　　者：袁芳[1] 吴秀芝[1] 

机构地区：[1]解放军第五十九中心医院药剂科,云南开远661600

出　　处：《解放军预防医学杂志》2017年第1期44-46,共3页Journal of Preventive Medicine of Chinese People's Liberation Army

摘　　要：目的分析某医院2013年1月-2015年12月肿瘤患者使用中成药的情况及用药合理性,为临床中成药管理提供参考。方法选取2013-2015年某医院收治的肿瘤患者280例为调查对象,采集门诊处方电子点评系统中记录的抗肿瘤处方,分析中成药使用基本情况、使用数量及应用抗肿瘤中成药患者年龄分布情况,同时对其用药适应症、给药剂量、疗程、有无重复用药及联合用药等相关用药信息进行回顾性分析,评价其用药合理性。结果该医院2013-2015年间中成药使用率为53.9%;所有中成药中以口服剂型中成药应用较多,2015年有78.9%的肿瘤患者使用口服剂型中成药,有10.5%的肿瘤患者使用注射剂型中成药,8.4%的肿瘤患者使用注射+口服剂型成药,较2013年及2014年均有所增长,各剂型比较差异无显著性(P>0.05);<20岁、20~40岁、41~60岁及≥61岁肿瘤患者使用中成药占比分别为37.9%、12.5%、13.2%、36.4%。280份肿瘤患者中成药处方中,22份存在不合理用药情况,不合理用药率为7.9%。结论门诊中肿瘤患者中成药使用量较大,用药存在一定不合理性,临床药师应加强监管,促进中成药合理使用。Objective To analyze the use of Chinese patent medicine in cancer patients in a hospital between 2013 and 2015 in order to provide reference for clinical management of Chinese patent medicine. Methods 280 cancer patients admitted into the hospital between 2013 and 2015 were selected as subjects of study. The anti-tumor prescriptions recorded in the electronic review system for outpatient prescriptions were collected. The basic data on the use of Chinese patent medicine, amount of Chinese patent medicine used and age distribution of patients who used anti-tumor Chinese patent medicine were analyzed. Meanwhile, the drug indication, dosage, course of treatment, repetition of medication and combined medication were analyzed retrospectively, and the rationality of drug use was evaluated. Results The usage rate of Chinese patent medicine in the hospital between 2013 and 2015 was 53.9%. Most of these Chinese patent medicines were oral agents. In 2015,78.9% of cancer patients used orally taken Chinese patent medicine, 10.5% used injection, and 8.4% used injection along with orally taken medicine. Compared with 2013 and 2014,the amount of various Chinese patent medicines used in our hospital increased. There was no significant difference between different types of medicine （ P〉0.05 ） ; The usage rate of Chinese patent medicine in cancer patients who were less than 20 years old,20 to 40 years old,41 to 60 years old and above 61 was 37.86%, 12.50%, 13.21% and 36.43% respectively. There was no significant difference in the usage rate of Chinese patent medicine between different age groups（ P〉0.05 ）. Of the 280 prescriptions ,22 were cases of irrational drug use, accounting for 7.9% of the total prescriptions. Conclusion The amount of Chinese patent medicine used by cancer patients is relatively large. There are some cases of irrational drug use. Clinical pharmacists should strengthen supervision to promote the rational use of Chinese patent medicine.

关 键 词：肿瘤患者 中成药 合理性 分析 

分 类 号：R273[医药卫生—中西医结合]