深圳市某三级甲等医院中药饮片处方药味调查及影响因素分析  

Investigation and Influencing Factors of Ingredients of Traditional Chinese Medicine Decoction Pieces Prescriptions in a Grade Ⅲ,Level A Hospital in Shenzhen

作　　者：李方园 唐志芳 陈佳美 梅全喜 邱绿琴[1] LI Fangyuan;TANG Zhifang;CHEN Jiamei;MEI Quanxi;QIU Lüqin(Dept.of Pharmacy,Shenzhen Bao’an Traditional Chinese Medicine Hospital,Guangdong Shenzhen 518133,China)

机构地区：[1]深圳市宝安区中医院药学部,广东深圳518133

出　　处：《中国医院用药评价与分析》2024年第9期1132-1135,共4页Evaluation and Analysis of Drug-use in Hospitals of China

基　　金：广东省自然科学基金-粤深联合基金-青年基金项目(No.2023A1515110376);深圳市“医疗卫生三名工程项目”(No.SZZYSM202206005);深圳市宝安区基础研究(医疗卫生类)项目(No.2021JD149);深圳市中药特色技术传承人才培训项目。

摘　　要：目的:探讨该院中药饮片处方药味数及其影响因素,寻找改进措施,促进中药饮片的合理应用。方法:抽取2023年该院门诊中药饮片处方2880张,通过Excel软件录入患者性别、年龄、药味数、科室、医师职称等信息,重点分析上述因素与处方药味数的关联性。采用SPSS 27.0软件对数据进行统计学分析。结果:抽取的2880张中药饮片处方中,平均药味数为13.99味,药味频率主要集中在11~20味,16味药的处方最多(465张,占16.15%);不同性别患者的处方药味数比较,差异无统计学意义(P>0.05);不同年龄段患者的处方药味数比较,差异有统计学意义(P<0.01),其中>50岁的患者处方药味数较其他年龄段多;随着医师职称的升高,处方的药味数亦呈升高趋势,且不同医师职称的处方药味数的差异有统计学意义(P<0.01);平均药味数排序居前列的科室主要有名中医馆、脾胃病科、老年病科、肾病科、肝病科;>18味药的处方有280张(占9.72%),主要集中于脾胃病科、名中医馆、流派工作室等;针对280张大处方进行处方点评,不合理率高达31.43%(88张)。结论:该院中药饮片处方药味数偏高,处方药味数受患者年龄、医师职称、就诊科室的影响;大处方中的不合理率亦较高,不合理之处主要体现在药味机械相加、主辅不明等。OBJECTIVE:To probe into the number of ingredients in traditional Chinese medicine(TCM)decoction pieces prescriptions and its influencing factors in the hospital,and to find improvement measures,so as to promote the rational application of TCM decoction pieces.METHODS:A total of 2880 outpatient TCM decoction pieces prescriptions of the hospital in 2023 were extracted,information of patients’genders,ages,number of ingredients,clinical departments and physician titles were entered through Excel software,the correlation between the above factors and the number of ingredients in prescriptions were emphatically analyzed.SPSS 27.0 software was used to analyze the data statistically.RESULTS:Among the 2880 TCM decoction pieces prescriptions extracted,the average number of ingredients was 13.99,the frequency of ingredients was mainly concentrated from 11 to 20 ingredients,with the largest number of 16 ingredients(465 prescriptions,16.15%).The difference in the number of ingredients among patients with different genders was not statistically significant(P>0.05).The difference in the number of ingredients among patients with different ages was statistically significant(P<0.01),in which the number of ingredients among patients>50 years was more than those of other age groups;with the rise of physician titles,the number of ingredients also showed an increasing trend,and the differences in the number of ingredients among different physician titles were statistically significant(P<0.01).The clinical departments ranked by the average number of ingredients were mainly Departments of Mingyiguan,Spleen and Stomach Diseases,Geriatrics,Nephrology and Hepatology.The number of prescriptions with ingredients>18 was 280(9.72%),which were mainly concentrated in the Departments of Spleen and Stomach Diseases,Mingyiguan and School Workshop.A prescription review was performed for 280 large prescriptions,the irrational rate was as 31.43%(88 prescriptions).CONCLUSIONS:The number of ingredients in TCM decoction pieces prescriptions in the hosp

关 键 词：中药饮片处方 药味数 影响因素 合理用药 

分 类 号：R932[医药卫生—生药学] R969.3[医药卫生—药学]