从辅助用药管理角度分析我院中药注射剂的应用合理性  

Application Rationality of Traditional Chinese Medicine Injections in Our Hospital from the Perspective of Adjuvant Drug Management

作　　者：马娟娟[1] 高旭 石婧 范顺心[1] 陈品英[1] 程杰[1] 孙士江[1] MA Juanjuan;GAO Xu;SHI Jing;FAN Shunxin;CHEN Pinying;CHENG Jie;SUN Shijiang(Dept.of Pharmacy,Hebei Provincial Hospital of Traditional Chinese Medicine,Hebei Industrial Technology Institute for Traditional Chinese Medicine Preparation,Shijiazhuang 050000,China;Dept.of Pharmacy,Traditional Chinese Medicine Hospital of Hebei Luanping County,Hebei Chengde 068250,China)

机构地区：[1]河北省中医院药学部,河北省中药制剂产业技术研究院,石家庄050000 [2]河北省滦平县中医院药学部,河北承德068250

出　　处：《中国医院用药评价与分析》2022年第6期750-753,共4页Evaluation and Analysis of Drug-use in Hospitals of China

基　　金：河北省中医药管理局科研计划项目(No.2020005)。

摘　　要：目的:了解国家中医临床研究基地河北省中医院(以下简称“该院”)中药注射剂的临床使用情况,为促进中药注射剂的合理应用提供参考。方法:利用医院信息系统,抽查2019—2021年该院住院患者医嘱含中药注射剂的病历,每月随机抽取100份,共抽取病历3600份,对该院34个品种41个品规的中药注射剂使用情况进行回顾性点评与分析。结果:3600份住院病历中,合理使用中药注射剂的病历有2406份,用药合理率为66.83%。不合理用药主要涉及活血化瘀类中药注射剂;不合理用药主要表现为适应证不适宜、超疗程用药、溶剂剂量不适宜、未冲管、中西药配伍不适宜、给药途径不适宜和遴选药物不适宜。结论:中药注射剂在该院的应用非常广泛,不合理用药现象也比较严重。将参照辅助用药管理经验,采取综合干预措施,逐步规范中药注射剂的临床应用,提高医疗服务质量,保证患者用药安全。OBJECTIVE:To investigate the clinical application status of traditional Chinese medicine(TCM)injections in National Clinical Research Base of Traditional Chinese Medicine,Hebei Provincial Hospital of Traditional Chinese Medicine(hereinafter referred to as“the hospital”),so as to provide reference for promoting the rational application of TCM injections.METHODS:Hospital information system was used,the inpatient medical records containing TCM injections in the hospital from^(2)019 to 2021 were randomly selected,100 cases were randomly selected every month,a total of 3600 cases were selected,and the application of TCM injections of 34 varieties and 41 specifications in the hospital was retrospectively reviewed and analyzed.RESULTS:Among 3600 inpatient cases,2406 cases were rational application of TCM injections,with the rational rate of 66.83%.Irrational drug application mainly included TCM injections for promoting blood circulation and removing blood stasis.The main manifestations of irrational drug application were improper indications,off-label course of treatment,improper solvent dose,unwashed tube,improper compatibility of TCM and western medicines,inappropriate route of administration and selection of drugs.CONCLUSIONS:TCM injections are widely used in the hospital,and the phenomenon of irrational drug application is also severe.With reference to the experience of adjuvant drug management,comprehensive intervention measures will be adopted to standardize the clinical application of TCM injections,improve the quality of medical services,and ensure the safety of patients’medication.

关 键 词：中药注射剂 处方点评 合理用药 国家中医临床研究基地 

分 类 号：R932[医药卫生—生药学]