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对我国国家基本药物目录和29省基本药物增补目录汇总分析,为即将进行的国家基本药物目录遴选工作提供一些建议。《国家基本药物目录(基层部分)》(NEML)截至2012年3月底,我国各省增补目录中的药品通用名进行频数分析。基本药物增补目录中成药中儿科用药、抗肿瘤药和皮肤科用药为NEML没有的治疗类别。分别对中药治疗类别、中药新剂型稳定性以及中药独家品种(剂型)等进行具体分析,省增补频率大的中成药是经过临床不断的实践及循证医学的不断论证,并且极大的适应了当地疾病谱和社会需求,应增补进最新的国家基药目录中。肿瘤用药、儿科用药等都是遵循了疾病需求进行增补,应该添加进最新的国家基药目录中,中药注射液例如参附注射液、刺五加注射液、醒脑静注射液增补进最新版国家基药目录的可能性比较大,而一味追求低价药品容易导致“反向淘汰”进而影响药品质量。以上仅为进一步精简完善我国基本药物目录提供参考。
To summarize and analyze the list of China’s national essential medicines and the list of supplements of essential medicines in 29 provinces, and provide some suggestions for the forthcoming selection of the national essential medicines list. National Essential Medicines Directory (Grassroots Section) (NEML) As of the end of March 2012, the frequency of common names of medicines in supplementary lists in all provinces of our country was analyzed. Supplementary Contents of Essential Medicines Pediatric medicines, antineoplastic medicines and dermatological medicines of proprietary Chinese medicines are not treated by NEML. Respectively on the Chinese medicine treatment categories, the stability of new Chinese medicine formulations and proprietary Chinese medicines (dosage forms) and so on specific analysis of the province to increase the frequency of proprietary Chinese medicine is through continuous clinical practice and evidence-based medicine continues to argue, and greatly adapted Local disease spectrum and social needs should be added to the latest national base drug list. Oncology drugs, pediatric drugs, etc. are to follow the disease needs to be added, it should be added to the latest list of national essential medicines, Chinese medicine injection such as Shen Fu injection, Acanthopanax injection, Xingnaojing injection added to the latest version The possibility of a national list of essential drugs is relatively large, and the blind pursuit of low-cost drugs can easily lead to “reverse phase-out” and thus affect the quality of medicines. The above only provide reference for further streamlining the catalog of essential medicines in our country.