漯河医学高等专科学校第二附属医院(2017-2018)活血化瘀类中成药使用合理性回顾性研究  

The Second Affiliated Hospital of Luohe Medical College(2017-2018) Retrospective Analysis of the Rationality of Clinical Use of Chinese Medicine for Promoting Blood Circulation and Removing Phlegm

作　　者：耿亚[1] 刘林杰[1] 崔雪靖[1] GENG Ya;LIU Linjie;CUI Xuejing(Department of Medicine,The Second Affiliated Hospital of Luohe Medical College,Luohe 462300,Henan,China)

机构地区：[1]漯河医学高等专科学校第二附属医院药品科,河南漯河462300

出　　处：《实用中医内科杂志》2018年第9期13-16,共4页Journal of Practical Traditional Chinese Internal Medicine

摘　　要：[目的]分析漯河医学高等专科学校第二附属医院活血化瘀类中成药使用合理性。[方法]使用回顾性分析方法,收集2017-2018年漯河医学高等专科学校第二附属医院门诊处方。参照2010版《中国药典》和国家中医药管理局"中药处方格式和书写规范"分析活血化瘀中成药处方合理性。使用WHO推荐的限定日剂量(DDD)分析方法,用药频度(DDDs)=药品每年消耗剂量/DDD,每天平均费用(DDC)=药品每年销售总额/DDDs。采用Excel2013统计软件,分析科室分布、不合理使用、活血化瘀类中成药DDDs排序和DDC等。[结果]纳入处方500份,男280份,女220份,患者351例。活血化瘀类中成药科室平均使用频率70.2%,妇科及心血管科使用频率最高,妇科>心血管科>乳腺科。合理使用活血化瘀中成药25.3%(89/351)。重复使用重要注射剂>重复使用某组分中药>理法方药不同。中成药DDDs排序前两位为疏血通注射液及丹参滴注液。[结论]活血化瘀中成药存在不合理情况,要严格根据药品说明书合理使用,辨证论治及合理配伍,降低不良反应发生率。[Objective] To analyze the rationality of clinical use of traditional Chinese medicine for promoting blood circulation and removing phlegm in the Second Affiliated Hospital of Luohe Medical College. [Methods]The retrospective analysis method was used for the outpatient prescription of the Second Affiliated Hospital of Luohe Medical College in 2017-2018. Refer to the 2010 edition of the ＂Chinese Pharmacopoeia＂ and the ＂Chinese medicine prescription format and writing specifications＂ issued by the State Administration of Traditional Chinese Medicine to analyze the rationality of the prescription of Chinese medicine for promoting blood circulation and removing blood stasis. Use the recommended daily dose（DDD） analysis method recommended by WHO, the frequency of administration（DDDs）=the annual consumption of the drug/the DDD of the drug, the average daily cost（DDC）=the total annual sales of the drug/the DDDs of the drug. Using Excel2013 statistical software, analysis of departmental distribution, irrational use, DDDs sorting and DDC of Chinese medicine for promoting blood circulation and removing blood stasis. [Results] 500 samples were included in the sample, 280 males and 220 females. The frequency of use of the clinical departments of the Chinese medicine for promoting blood circulation and removing phlegm is 70.2%, and the frequency of gynecology and cardiovascular use is the highest. Gynecology〉Cardiovascular〉Mammography. The rational use of Chinese medicine for promoting blood circulation and removing blood stasis was 89 cases, accounting for 25.3%. Reuse of important injections〉Reuse of a component of traditional Chinese medicine〉Different prescriptions. The top two rankings of Chinese patent medicine DDDs are Shuxuetong injection and Danshen drip solution. [Conclusion] There are still a series of unreasonable situations in the use of traditional Chinese medicine for promoting blood circulation and removing blood stasis. Therefore, it is necessary to pay attentionto it, and it must

关 键 词：活血化瘀 中成药 漯河医学高等专科学校第二附属医院 科室分布 不合理使用 DDDS DDC 中国药典 回顾性研究 系统综述 

分 类 号：R288[医药卫生—中药学]