小包装中药饮片应用分析及扩大使用的剂量设置初探  

The analysis of small package of Chinese herb medicine application and primary investigation of dose setting for expanded use

作　　者：杨涛涛 孙丹春[1] 王凯[1] 郑红梅 吴丽君 秦萍 方崇波[1] YANG Tao-tao;SUN Dan-chum;WANG Kai;ZHENG Hong-mei;WU Li-jun;QIN Ping;FANG Chong-bo(Department of Pharmacy,Lihuili Hospital of Ningho Medical Center,Zhejiang Ningho 315040,China)

机构地区：[1]宁波市医疗中心李惠利医院药剂科,浙江宁波315040

出　　处：《中国医院药学杂志》2018年第20期2165-2168,共4页Chinese Journal of Hospital Pharmacy

基　　金：浙江省药学会医院药学专项科研项目(编号:2017ZYY24)

摘　　要：目的:调查分析某院小包装中药饮片和散装饮片使用情况,结合门诊处方,探讨小包装饮片扩大使用的剂量设置可行性。方法:利用医院信息管理系统(HIS)统计小包装饮片和散装饮片的使用情况,随机抽取门诊处方1 800张(2014年1月-2016年12月期间),分析小包装饮片种类、规格、月使用平均占比,年使用总量前20的传统饮片名称、用量和周转率,结合门诊处方统计分析用量靠前的散装饮片常用剂量分布。结果:2014年1月-2016年12月期间在用的小包装中药饮片46种(6种剂量规格),月使用平均占比6.44%～11.03%;3年年使用量前20的散装饮片共23种,年使用周转率≥93.53%,其中首乌藤、山药、炒白芍等17种饮片的常用剂量为30 g和15 g,白花蛇舌草、半枝莲和生地黄3种饮片常用剂量为30 g和20 g,炒白术、柴胡、甘草的常用剂量为15 g和10 g、10 g和5 g及5 g和3 g。有21种散装饮片,其两种规格占全部剂量规格比例在89.44%以上。结论:近3年该院小包装饮片使用稳定,多数散装饮片常用剂量集中在两种规格,若按照"一品二规"的剂量设置扩大小包装饮片使用,具有一定的可行性。OBJECTIVE To investigate the use of small package and loose package of Chinese herb medicine in our hospital,combine outpatient prescriptions to analyze the dose setting feasibility of small packages.METHODS The hospital information management system（HIS）was used to calculate use of small package and loose package of Chinese herb medicine,1800 outpatient prescriptions were randomly selected（2014.01-2016.12）.The species,specifications,average month proportion,and the species,dosage,and rotation rate of loose package of top 20 use were analyzed.Outpatient prescription was combined to analyze usual dose distribution.RESULTS Totally 46 kinds（6 dose specifications）of small package of Chinese herb medicine were used,the average month proportion was 6.44%-11.03%.Twenty three kinds of loose package encompassed the top 20 th total usage of year 2014,2015 and 2016.Annual rotation rate≥93.53%.Seventeen kinds of loose package commonly used doses were 30 g and 15 g,such as caulis polygonimultiflori,rhizomadioscoreae,radixpaeoniae alba,etc.The commonly used doses of hedyotisdiffusa,sculellariabarbata and radix rehmanniae were 30 g and 20 g.The commonly used doses of atractylodesm acrocephala,radixbupleuri and glycyrrhiza were 15 g and 10 g,10 g and 5 g,5 g and 3 g,respectively.There were 21 kinds of loose package Chinese herb of which two dosages were above 89.44%in the usual dosage.CONCLUSION The small package has been used stably in our hospital for nearly three years.Most loose packages of the usually used drugs have 2 dose specifications.It is feasible to promote use of small packages as per the dose setting principle of＂one kind two specifications＂.

关 键 词：小包装中药饮片 扩大使用 剂量设置 初探 

分 类 号：R952[医药卫生—药学]