“有毒中药”的医疗机构应用现状及警戒思考  

Current Application Situation and Pharmacovigilance Reflections on“Toxic Traditional Chinese Medicine”in Medical Institutions

作　　者：王琚丽 李京生 马园 王春媚 朱宏伟 赵奎君[5] WANG Juli;LI Jingsheng;MA Yuan;WANG Chunmei;ZHU Hongwei;ZHAO Kuijun(Dept.of Pharmacy,Beijing Yanqing District Hospital,Yanqing Hospital,Peking University Third Hospital,Beijing 102100,China;Dept.of Biomedicine,Beijing City University,Beijing 100089,China;Dept.of Pharmacy,Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University,Beijing 100010,China;Dept.of Traditional Chinese Medicine,Beijing Yanqing District Hospital,Yanqing Hospital,Peking University Third Hospital,Beijing 102100,China;Dept.of Traditional Chinese Medicine Pharmacy,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]北京市延庆区医院/北京大学第三医院延庆医院药剂科,北京102100 [2]北京市城市学院生物医学部,北京100089 [3]首都医科大学附属北京中医医院药学部,北京100010 [4]北京市延庆区医院/北京大学第三医院延庆医院中医科,北京102100 [5]首都医科大学附属北京友谊医院中药剂科,北京100050

出　　处：《中国医院用药评价与分析》2024年第4期390-395,共6页Evaluation and Analysis of Drug-use in Hospitals of China

基　　金：北京市中医管理局第六批北京市级中医药专家学术经验继承工作(No.京中医科字[2021]169号);北京市第三批中药骨干人才培养项目(京中医科字[2022]59号);北京市延庆区科学技术协会金桥工程种子资金项目(No.21007)。

摘　　要：目的:通过调研中医药专业人员,了解“有毒中药”的临床应用现状,提出有针对性的药物警戒思考。方法:围绕“有毒中药”设计调研问卷,对19个省/自治区/直辖市的136名中医师、中药师进行调研,并对调研结果进行分析。结果:发放调研问卷136张,回收136张。调研对象对于“有毒中药”的认知存在一定的局限性,关注重视程度不足,临床使用行为存在不规范现象,相关法律法规等方面的学习相对片面。结论:医疗机构医师、药师应以本院的“有毒中药”为基础,提升对“有毒中药”整体的认知水平;以不良反应为切入点,加强对“有毒中药”的重视程度;将科研成果与临床实际相结合,规范“有毒中药”的临床使用。OBJECTIVE:To investigate the clinical application situation of“toxic traditional Chinese medicine”through research on traditional Chinese medicine professionals,and to put forward targeted pharmacovigilance ideas.METHODS:Questionnaires were designed around“toxic traditional Chinese medicine”,136 traditional Chinese medicine clinicians and traditional Chinese medicine pharmacists in 19 provinces/autonomous regions/municipalities directly under the central government were investigated,and the investigation results were analyzed.RESULTS:Totally 136 questionnaires were distributed and 136 were collected.There were some limitations in the cognition of respondents on“toxic traditional Chinese medicine”,the degree of attention was insufficient,the clinical application behavior was not standardized,and the learning of relevant laws and regulations was relatively one-sided.CONCLUSIONS:Clinicians and pharmacists of medical institutions should take“toxic traditional Chinese medicine”in their own hospitals as the basis to improve the overall knowledge of“toxic traditional Chinese medicine”.To set adverse drug reactions as an entry point to strengthen the importance of“toxic traditional Chinese medicine”,and standardize the clinical application of“toxic traditional Chinese medicine”by combining scientific research results with clinical practice.

关 键 词：中药合理应用 中药药物警戒 有毒中药 医疗机构 

分 类 号：R932[医药卫生—生药学]