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目的分析门诊处方使用口服活血化瘀类中成药的使用情况。方法选取医院门诊开具的口服活血化瘀类中成药处方为调查对象,统计处方数量及使用药物品种,观察口服活血化瘀类中成药处方占门诊同期处方总数及中成药处方总数的构成比。随机从每月开具的口服活血化瘀类中成药处方中抽取100张,共计2 400张处方为样本,统计处方出处及联合用药情况,计算处方中各种口服活血化瘀类中成药的使用频度,统计医院常用口服活血化瘀类中成药的利用指数,评价合理性。结果 2015年1月-2016年12月医院门诊开具口服活血化瘀类中成药处方127 155张,占同期门诊中成药处方的44.91%,占门诊处方总数的12.46%。DDDs前三位的药品分别为冠脉宁片、龙血竭胶囊、脉络通胶囊,全部药品DUI均≤1.0。样本处方中,中医开具628张(26.17%),西医开具1 772张(73.83%),活血化瘀中成药单独使用1 994张(83.08%),联合使用406张(16.92%),统计发现不合理处方45张(1.88%),其中西医开具占91.11%。结论医院口服活血化瘀类中成药在门诊处方中构成比较高,多数药品为西医医生所开,药品使用基本合理,但仍有不足。对此,临床使用活血化瘀类中成药应注重突出中医特色,强调辨证论治和科学配伍,减少经验用药,以保证药品疗效及使用安全,进一步提高临床用药合理性。
Objective To analyze the use of proprietary Chinese medicines in oral prescriptions for promoting blood circulation and removing blood stasis in outpatients. Methods The prescriptions of Oral Blood-activating and Stasis-removing proprietary Chinese medicines prescribed in the outpatient department of the hospital were selected as the survey subjects, the number of prescriptions and the types of drugs were used to observe the composition ratio of the total number of prescriptions of Oral Traditional Chinese Medicine for Oral Containing Blood Circulation and Removing Blood Stasis, and the total number of prescriptions of proprietary Chinese medicines. A total of 2 400 prescriptions were randomly selected from prescriptions of oral blood circulation for promoting blood circulation and removing stasis medicine collected monthly. Samples of prescriptions and prescriptions were collected and used together to calculate the frequency of use of various proprietary Chinese medicines for promoting blood circulation and removing blood stasis Degree, statistics of commonly used oral blood circulation of traditional Chinese medicine utilization index, evaluation of rationality. Results From January 2015 to December 2016, 127 155 prescriptions of proprietary Chinese medicines for promoting blood circulation and removing blood stasis were issued in outpatient clinics, accounting for 44.91% of the prescriptions for proprietary Chinese medicines clinics in the same period, accounting for 12.46% of the total number of outpatient prescriptions. DDDs the top three drugs were Corning film, Dragon Blood Capsule, Mailu Capsule, all drugs DUI are ≤ 1.0. Among the sample prescriptions, 628 (26.17%) were issued by Chinese medicine practitioners, 1,772 (73.83%) were issued by western medicine, 1,994 (83.08%) were used by proprietary Chinese medicines, and 406 (16.92%) were used in combination. 45 prescriptions (1.88%) were prescribed, of which 91.11% were issued by western medicine. Conclusion Oral blood circulation of traditional Chinese medicine in the hospital composition of proprietary Chinese medicines in the clinic is relatively high, most of the medicines for Western doctors opened, the use of drugs is reasonable, but there are still inadequate. In this regard, clinical use of traditional Chinese medicine promoting blood circulation should pay attention to highlighting the characteristics of traditional Chinese medicine, emphasizing syndrome differentiation and scientific compatibility, reduce the experience of medication, to ensure the efficacy and safety of drugs to further improve the rationality of clinical medication.