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目的评价中药注射剂的管理和使用情况,为中药注射剂管理及合理使用提供参考。方法采用列表分析的方法对2012年和2013年三六三医院中药注射剂的用药品种、金额、日均费用、用药频度等用药情况进行对比分析。结果两个年度中药注射剂目录品种规格基本稳定,其中理血剂使用频度、品规及销售额占比均最大,治疗心脑血管病和骨科疾病方面应用广泛。结论本院中药注射剂使用与治疗任务基本相符,但部分品种存在超剂量使用、超功能主治使用、重复用药和疗程过长等现象。药品的日均费用、医保类别、是否基本药物及处方点评对临床选择使用中药注射剂影响明显。
Objective To evaluate the management and use of traditional Chinese medicine injections and provide reference for traditional Chinese medicine injections management and rational use. Methods A list analysis method was used to compare the drug use, amount, daily average cost and medication frequency of traditional Chinese medicine injections in 2012 and 2013 hospitals. Results The results showed that the specifications of two kinds of Chinese medicine injections were basically stable. The frequency of use, the rules of products and the sales accounted for the largest proportion. The treatment of cardio-cerebrovascular diseases and orthopedic diseases was widely used. Conclusion The use of traditional Chinese medicine injections and treatment tasks basically match, but there are some varieties of overdose use, super-function indications, repeated medication and treatment is too long and so on. Daily average cost of medicines, health insurance categories, whether the basic drugs and prescription reviews on the clinical choice of Chinese medicine injection significantly affected.