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作 者:张瑞丽[1] 王景红[1] 梅娜[1] ZHANG Rui-li WANG Jing-hong MEI Na(Department of Pharmacy, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China)
机构地区:[1]中国中医科学院望京医院药学部,北京100102
出 处:《临床药物治疗杂志》2017年第3期29-32,共4页Clinical Medication Journal
摘 要:目的:梳理中国中医科学院望京医院呼吸科常用52种中成药孕妇用药信息,为临床医师、药师、患者提供用药参考,促进中成药在孕妇中的安全应用。方法:调查52种中成药说明书,对其孕妇用药信息进行统计分析;并结合专业书籍,提出孕妇使用建议。结果:调查的52份中成药说明书中,24份明确标注"孕妇禁用"、"孕妇慎用";19份说明书标注"孕妇应在医师指导下服用";9份未标注。3种说明书标注为"孕妇禁用"的中成药,既没有"孕妇禁用"组分,也没有"孕妇慎用"组分;说明书未标注孕妇用药信息或标注在医师指导下服用的中成药有8种含有孕妇慎用成分,有3种参考《临床用药须知》和《中国药典》为慎用或禁用。结论:呼吸科涉及的中成药多是孕妇禁用或慎用,药师在为孕妇提供药学服务时,需要更专业的中医药学知识;中成药说明书在孕妇用药信息标注方面存在一定的缺陷,仍需进一步完善,以保障孕妇用药安全。Objective: We screened the information of 52 Traditional Chinese Medicine(TCM) about respiratory medicine used with pregnant women for doctors, pharmacists, patients, and to promote TCM safety application in pregnant women. Methods:The instructions of 52 TCM were investigated and analyzed in terms of drug information for pregnant.Combined with the professional books we puted forward relevant medication suggestions forpregnant women. Results:24 instructions were clearly labeled ‘ban’,‘caution’, 19 instructions were labeled ‘pregnant women should take medicine under guidance of physician’ 9 instructions no labels.The components of 3 TCM labed contrain dicated in pregnancy contain neither‘ban’ nor ‘caution’.8 TCM contained ‘caution’ compositions were not labeled or marked ‘pregnant women should take medicine under guidance of physician’, 3 TCM referenced professional books were ‘careful’ or ‘disabled’. Conclusion:Respiratory involves TCM used pregnant women is disabled or careful, pharmacists need more professional knowledge about TCM to provide pharmaceutical care for pregnant women.In a way, TCM instruction has defects for pregnant women.In order to ensure the medication safety of pregnant women,more works should be done to improve it in future.
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