基于医生和患者报告的奇正消痛贴膏不同规格外用贴剂临床应用现状研究  

Study on the Status of Clinical Application of Different Sizes of Qizheng Xiaotong Patch Based on Physician and Patient Reports

作　　者：王雪惠 王思懿 叶欣 胡钟竞 马占华 侯文斌 孙屿昕 郑酉友 刘兆兰[1] WANG Xuehui;WANG Siyi;YE Xin;HU Zhongjing;MA Zhanhua;HOU Wenbin;SUN Yuxin;ZHENG Youyou;LIU Zhaolan(Centre for Evidence-based Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,China;Affiliated Hospital of Chengdu University of Chinese Medicine,Chengdu 610075,China;Affiliated Hospital of Traditional Chinese Medicine,Southwest Medical University,Luzhou 646000,China;The Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学循证医学中心,北京100029 [2]成都中医药大学附属医院,四川成都610075 [3]西南医科大学附属中医医院,四川泸州646000 [4]北京中医药大学第三附属医院,北京100029

出　　处：《中国中医药信息杂志》2023年第3期165-170,共6页Chinese Journal of Information on Traditional Chinese Medicine

基　　金：中国民族医药学会科研项目(2020MZ359-660103);国家中医药管理局中医药创新团队及人才支持计划项目(ZYYCXTD-C-202006)。

摘　　要：目的以奇正消痛贴膏(1.8 g和1.2 g规格)为例,通过调研医生和患者了解不同规格中药外用贴剂临床应用病种、部位、敷贴数量等现状。方法以来自全国28个省份开具过奇正消痛贴膏处方的医生及使用过该贴剂的患者为调研对象,采用横断面研究设计,整群抽样法,自行设计调查问卷,进行访问并收集资料。利用Epidata3.1录入数据,应用SPSS26.0统计软件进行分析。结果共调查医生346人,患者255人。医生反馈1.8 g、1.2 g规格奇正消痛贴膏临床主要用于腰肌劳损/下腰痛(96.3%、94.5%)、肩周炎(95.0%、94.1%)、颈椎病/落枕(94.9%、91.7%)、急慢性扭挫伤或软组织损伤(92.5%、94.2%)、骨质增生/骨关节炎(93.6%、89.2%)、陈旧性伤痛(92.3%、88.6%)、跌打瘀痛(84.2%、85.8%)、骨骼肌肉疼痛(74.7%、88.6%)、风湿及类风湿疼痛(71.8%、84.2%)、骨折术后恢复期(61.5%、66.9%)的治疗。患者反馈的奇正消痛贴膏应用病种与医生反馈一致。奇正消痛贴膏治疗部位主要为颈(95.7%、97.3%)、肩(95.0%、96.2%)、腰(94.0%、92.9%)、背(89.1%、91.7%)、膝(86.6%、78.5%)、腕(80.3%、71.8%)、踝(78.5%、72.2%)、肘(75.7%、74.6%)。治疗时普遍使用1贴/次,但1.2 g规格在肩部(46.6%)、背部(42.4%)、腰部(48.3%)多用2贴/次。1.2 g规格在四肢关节部位或局限性病灶推荐使用率略高于躯干部位病灶,1.8 g规格在躯干部位病灶推荐使用率略高于四肢关节部位或局限性病灶。结论奇正消痛贴膏(1.8 g、1.2 g规格)临床主要用于骨骼肌肉系统疾病,2种规格贴膏均适宜于四肢关节部位和躯干部位应用,可有效缓解疼痛、肿胀、功能障碍,具有一定应用基础及可及性;且医生更倾向在颈、肩、腰、背等躯干部位使用1.8 g规格贴膏,以满足该类患者精准用药需求。Objective To understand the application status of clinical application of different sizes of TCM topical patches,such as diseases,locations and number of patches through physician and patient reports by setting Qizheng Xiaotong Patch(1.8 g and 1.2 g)as an example.Methods A cross-sectional study design and cluster sampling method were adopted.The clinical doctors who had prescribed Qizheng Xiaotong Patch and the patients who had used Qizheng Xiaotong Patch from 28 provinces of China were selected as the subjects.A self-designed questionnaire was applied to collect data from one-on-one interviews between doctors and patients.SPSS 26.0 was used for statistical analysis by inputting data via Epidata3.1.Results The investigation included 346 doctors and 255patients.According to the feedback of the doctors,1.8 g and 1.2 g Qizheng Xiaotong Patch were mainly employed for treatment of lumbar muscle strain/low back pain(96.3%,94.5%),periarthritis of shoulder(95.0%,94.1%),cervical spondylosis/stiff pillow(94.9%,91.7%),acute and chronic contusion or soft tissue injury(92.5%,94.2%),bone hyperplasia/osteoarthritis(93.6%,89.2%),old pains(92.3%,88.6%),blood stasis pain(84.2%,85.8%),skeletal muscle pain(74.7%,88.6%),rheumatism and rheumatoid pain(71.8%,84.2%),as well as postoperative recovery in the treatment of fractures(61.5%,66.9%).The patient feedback on applying the Qizheng Xiaotong Patch was consistent with the doctor.The principal treatment parts of 1.8 g and 1.2 Qizheng Xiaotong Patch were neck(95.7%,97.3%),shoulder(95.0%,96.2%),waist(94.0%,92.9%),back(89.1%,91.7%),knee(86.6%,78.5%),wrist(80.3%,71.8%),ankle(78.5%,72.2%)and elbow(75.7%,74.6%).One patch was commonly used for treatment,but the 1.2 g size was mostly used for 2 patches in the shoulder(46.6%),back(42.4%),and lumbar region(48.3%).The recommended utilization rate of 1.2 g in joint or localized lesions was slightly higher than that of trunk lesions,while the recommended utilization rate of 1.8 g in trunk lesions was slightly higher than that of joint or localized

关 键 词：奇正消痛贴膏 临床适用部位 临床适用病种 横断面研究 

分 类 号：R244.9[医药卫生—针灸推拿学]