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目的:对我院2010-2014年清热类中药饮片的使用进行分析。方法:参照《中国药典》和《中药学》药材,结合实际使用品种,利用Excel统计表,按品种、类别、亚类分别统计。结果:临床实际使用的清热类中药饮片品种数共计有64种(包括同一饮片的不同炮制品),分别为清热泻火药13种、清热燥湿药6中、清热凉血药6种、清热解毒药34种、清虚热药5种。5年中每年各亚类用量构成比排序均相同,由大到小依次为清热解毒药、清热凉血药、清热泻火药、清热燥湿药、清虚热药。其中清热解毒药用量最大,构成比在35.75%~46.81%之间,其次为清热凉血药,构成比22.94%~28.61%,两者合计每年均约占全部清热药用量的60%~70%。5年中每年用量最大的均为生地黄,并且每年用量前5位的饮片品种均相同,仅排序有所不同。近5年来赤芍用量排序呈逐年上升趋势,由2010年的第5位上升到2014年的第2位。结论:饮片销量金额总体呈增长趋势,用量随当年中药饮片总用量波动,2013年以来量价齐升。
OBJECTIVE: To analyze the use of Chinese herbal decoction in 2010-2014 in our hospital. Methods: With reference to “Chinese Pharmacopoeia” and “traditional Chinese medicine” herbs, with the actual use of varieties, using Excel statistical tables, statistics by species, category, subcategory. Results: A total of 64 kinds of traditional Chinese herbal pieces (including different processed products of the same piece) were used in clinical practice. They were 13 kinds of heat-clearing and purging powder, 6 kinds of heat-clearing and damp-proofing medicines, 6 kinds of heat- 34 kinds of medicine, Qingxuyao 5 kinds. In each of the five years, the constituent ratios of each sub-category are the same in rank, descending order of Qingrejiedu, Qingre Liangxue medicine, heat purging fire powder, heat-clearing and dampness medicine, Qingxu heat medicine. Among them, the amount of heat-clearing and detoxifying drugs was the largest, with the proportions ranging from 35.75% to 46.81%, followed by the heat-clearing and cooling blood drugs, accounting for 22.94% -28.61% of the total amount, accounting for 60% 70%. 5 years, the largest annual consumption of Rehmannia, and the annual consumption of the top five varieties of the same, only the order is different. In the past five years, the usage of Radix Paeoniae Rubra has been increasing year by year, from the fifth place in 2010 to the second place in 2014. Conclusion: The sales volume of Pieces showed an overall increasing trend. The dosage of Pieces fluctuated with the total amount of Pieces of Chinese Herbal Medicine in the same year, and the volume and price of Qi Pie have risen together since 2013.