2012—2016年贵阳中医学院第一附属医院/贵州省中医医院有毒中药饮片应用分析  

Analysis on Application of Toxic Traditional Chinese Medicines Decoction Pieces in The First Affiliated Hospital of Guiyang College of Traditional Chinese Medicine/Guizhou Province Hospital of Traditional Chinese Medicine During 2012-2016

作　　者：罗洪瑜[1] 华玉玲[1] 

机构地区：[1]贵阳中医学院第一附属医院/贵州省中医医院药剂科,贵州贵阳550001

出　　处：《中国医院用药评价与分析》2017年第12期1671-1674,共4页Evaluation and Analysis of Drug-use in Hospitals of China

基　　金：全国中药特色技术传承人才培养项目(No.2015481601003)

摘　　要：目的:了解2012—2016年贵阳中医学院第一附属医院/贵州省中医医院(以下简称"我院")有毒中药饮片的使用情况及规律,为临床合理用药提供参考。方法:收集我院医院信息管理系统中2012—2016年有毒中药饮片的使用信息,对其使用量、销售金额等进行统计、排序和分析。结果:2012—2016年我院有毒中药饮片的使用量总体呈增长趋势,且增幅较大,但其占中药饮片总使用量的比例稳定在4.35%(7 385.24 kg/169 758.80 kg,2012年)~4.95%(10 880.26 kg/219 859.20 kg,2016年)之间;2012—2016年我院有毒中药饮片的销售金额分别为13.82、17.52、25.88、33.69和37.86万元,呈逐年增长趋势,年平均增长率为28.65%。5年来,化痰药的使用量排序均居首位,其次为攻毒杀虫去腐敛疮药;使用量排序均居1、2位的有毒中药饮片分别为法半夏、川楝子,销售金额排序均居前2位的有毒中药饮片包括法半夏、蜈蚣。结论:我院中药饮片及有毒中药饮片使用量及销售金额总体呈增长趋势,既有客观原因,也存在人为因素。应关注有毒中药饮片的合理应用,保证患者用药安全。OBJECTIVE： To investigate the application and its regularities of toxic traditional Chinese medicines （TCM） decoction pieces in the First Affiliated Hospital of Guiyang College of Traditional Chinese Medicine/Guizhou Provinc Hospital of Traditional Chinese Medicine（ hereinafter referred to as ＂our hospital＂ ） during 2012-2016, so as to provide references for clinical rational drug application. METHODS ： Data of application of toxic TCM decoction pieces during 2012-2016 in our hospital information management system were collected, the usage amount and consumption sum were calculated, sequenced and analyzed. RESULTS： The usage amount of toxic TCM decoction pieces during 2012-2016 in our hospital presented an increasing trend with high amplification, yet its proportion accounted the total usage amount of TCM decoction pieces remained stable within 4. 35% （7 385.24 kg/169 758.80 kg, 2012）-4.95% （10 880.26 kg/219 859.20 kg, 2016） ; the consumption sum of toxic TCM decoction pieces in our hospital during 2012-2016 were respectively 138 200,175 200,258 800,336 900 and 378 600 yuan, which presented an increasing trend, with average annual growth rate of 28.65%. In the recent 5 years, expectorant ranked the first in usage amount, secondly were toxic counteracting, vermifuge, necrotic removing and sore healing; the top 2 toxic TCM decoction pieces ranked in usage amount were respectively rhizoma pinellinae praeparata and szechwan Chinaberry fruit, the top 2 ranked in consumption sum were respectively rhizoma pinellinae praeparata and centipede. CONCLUSIONS： The usage amount and consumption sum of TCM decoction pieces and toxic TCM decoction pieces have presented increasing trends, with objective and human causes. Rational application of toxic TCM decoction pieces needs to be paid attention to ensure safe medication for patients.

关 键 词：有毒中药饮片 使用量 销售金额 用药分析 

分 类 号：R932[医药卫生—生药学]