肿瘤科门诊中药饮片处方分析  

Analysis of Chinese Medicine Decoction Piece Prescription in Oncology Outpatient Department

作　　者：徐丽芳[1] 王宏顺 胡勇智 魏志鸿 张璐[1] XU Lifang;WANG Hongshun;HU Yongzhi;WEI Zhihong;ZHANG Lu(Department of Pharmacy,Affiliated Hospital of Jiangxi University of Chinese Medicine,Jiangxi Province,Nanchang 330006,China)

机构地区：[1]江西中医药大学附属医院药学部,江西南昌330006

出　　处：《中国中医药现代远程教育》2022年第22期32-34,共3页Chinese Medicine Modern Distance Education of China

基　　金：江西省卫生计生委中医药项目【No.2017B082】;江西省卫生计生委科技项目【No.20175328】;国家中医药管理局全国中药特色技术传承人【No.T20194828003】。

摘　　要：目的 对肿瘤科门诊处方进行分析,以期得出其处方用药特点及合理性等信息,从而提高处方质量,促进临床治疗效果。方法 对2018年肿瘤科中药饮片处方组成、药味数、每剂金额、合理性评价等方面分别采用描述性分析、分区统计分析等方法。结果 中医肿瘤治疗以扶正祛邪为法,组方上多给予白术、当归、茯苓、黄芪、鸡血藤、制天南星、鳖甲、半枝莲、白花蛇舌草等补气活血,化瘀祛痰散结。在处方药味数与每剂金额方面,肿瘤科处方药味数大部分分布在11~20味,处方金额大部分分布在20~70元/剂,当药味数为18味时或处方金额为70元/剂时,处方的不合格率明显上升。存在的不合格问题主要为特殊煎煮未注明,中医诊断书写不规范或缺中医证型,超剂量使用,配伍禁忌未加签,用药与辨证不相符。结论 将肿瘤科处方药味数及每剂金额控制在合理范围内,同时通过信息化手段设法解决书写不规范的问题,处方质量会大大提升。Objective To analyze the outpatient prescription of oncology department in order to obtain the characteristics and rationality of the prescription, so as to improve the quality of prescription and promote the clinical treatment effect. Methods Descriptive analysis, zonal statistical analysis and other methods were used to analyze prescription composition, drug flavor number, amount of each dose and rationality evaluation of oncology department in 2018.Results In the treatment of tumor in traditional Chinese medicine, Atractylodonis atractylodonis, angelica sinensis, poria cocos, astragalus membranaceus, caulis spatholobus, arinaria aruntii, trionyx carapace, brachiophora chinensis and Hedyotis diffusa were given to replenish qi, promote blood circulation, remove blood stasis, dispel phlegm and disperse constipation. In terms of the number of prescription drugs and the amount of each dose, the number of prescription drugs in oncology department is mostly distributed in the range of 11-20, and the amount of prescription drugs is mostly distributed in the range of 20-70 yuan/dose. When the number of prescription drugs is 18 or the amount of prescription is 70 yuan/dose, the unqualified rate of prescription increases significantly. The unqualified problems mainly include unspecified special decocting, non-standard writing of traditional Chinese medicine diagnosis or lack of traditional Chinese medicine syndromes, unsigned use of overdose or incompatibility, and inconsistency between medication and syndrome differentiation. Conclusion The quality of oncology prescription will be greatly improved by controlling the quantity of drug flavor and the amount of each dose within a reasonable range and solving the problem of non-standard writing by means of informationization.

关 键 词：肿瘤 中药饮片处方 合理用药 药味 每剂金额 

分 类 号：R288[医药卫生—中药学]