北京市某社区卫生服务机构感冒类中成药的使用合理性与管理建议  

Rationality and management suggestions of Chinese patent medicine for colds in a community health service institution in Beijing

作　　者：辛丹 许保海[2] 金祥龙 XIN Dan;XU Baohai;JIN Xianglong(Department of Pharmacy,Zhanlan Road Community Health Service Center,Xicheng District,Beijing100026,China;Department of Pharmacy,Beijing Jishuitan Hospital,Beijing100035,China;Department ofPharmacy and Medical Devices,Baizhifang Community Health Service Center,Xicheng District,Beijing100053,China)

机构地区：[1]北京市西城区展览路社区卫生服务中心药剂科,北京100026 [2]北京积水潭医院药剂科,北京100035 [3]北京市西城区白纸坊社区卫生服务中心药械科,北京100053

出　　处：《中国当代医药》2024年第26期137-140,146,共5页China Modern Medicine

基　　金：北京市第三批中药骨干人才培养项目(京中医科字〔2022〕59号)。

摘　　要：目的回顾性分析北京市西城区展览路社区卫生服务中心感冒类中成药的使用情况,分析不合理处方类别及原因,为感冒类中成药在社区医院的规范合理使用提供参考。方法采用回顾性分析的研究方法,使用Excel软件对北京市西城区展览路社区卫生服务中心2022年感冒类中成药使用情况进行统计和分析,并制定管理对策。结果24种感冒类中成药中清热解毒剂占比为29.17%,辛凉解表剂占比为20.83%;其中含毒性成分的有9种;仅4个品种药物利用指数(DUI)不等于1;处方不合理类型为适应证不适宜、用法用量不适宜、重复用药、联合用药不适宜及用药疗程不适宜。结论中成药广泛应用于感冒治疗中,建议采用分类管理、制定不适宜联用清单等管理方法,提高用药合理性,保障患者用药安全。Objective To retrospectively analyze the use of Chinese patent medicine for colds in Zhanlan Road Community Health Service Center,Xicheng District,Beijing,to analyze the categories and causes of irrational prescriptions,and to provide reference for the standardized and rational use of Chinese patent medicine for colds in community hospitals.Methods By using the retrospective statistical method,the use of Chinese patent medicine for colds in Zhanlan Road Community Health Service Center,Xicheng District,Beijing,in 2022 was statistically analyzed and analyzed by Excel,and management countermeasures were formulated.Results Among the 24 kinds of Chinese patent medicine for colds,heat-clearing and detoxicating prescription accounted for 29.17%,formula for relieving superficies syndrome with pungent and cool natrued drugs accounted for 20.83%;9 kinds contained toxic ingredients;only 4 kinds of drug utilization index(DUI)were not equal to 1;the irrational types of prescriptions were unsuitable indications,unsuitable usage and dosage,unsuitable repeated medication,unsuitable combination therapy and unsuitable medication course.Conclusion Chinese medicine is widely used in cold treatment.It is recommended to use management methods such as classification management and formulating inappropriate use of lists to improve the rationality of medication and ensure the safety of patients'medication.

关 键 词：感冒 中成药 合理使用 分类管理 管理建议 

分 类 号：R969.3[医药卫生—药理学]