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目的:回顾分析我院2010~2012年中药饮片质量入库验收报告,总结饮片质量常见问题与其解决措施,保证临床应用疗效性与安全性。方法:收集整理我院2010~2012年中药饮片质量入库验收报告,筛查出饮片质量不合格的验收报告,统计饮片质量不合格比例,进一步将饮片质量验收不合格批次进行分类整理,共分为品质问题、品种不符、炮制问题、贮存问题、包装问题、标签问题6个大类,采用EXCEL统计分析各类原因占比并排次,分析原因,据此探讨今后干预体会。结果:我院2010~2012年中药饮片质量入库验收报告共计13569批次,其中13295批次合格,合格比例为97.981%,274批次不合格,不合格比例2.019%,不合格的问题包括品质问题11.68%、品种不符11.68%、炮制问题26.64%、贮存问题14.23%、包装问题8.03%、标签问题27.74%,其中炮制问题和标签问题是不合格的主要问题,二者占不合格总批次的54.38%。结论:2010~2012年中药饮片质量入库验收存在诸多问题,表现类型多元化,加强中药饮片质量入库验收具有重要的现实意义,能够提高临床药用饮片的品质,保证临床应用疗效性与安全性,保证中药饮片质量的关键要素是合法化进货渠道、专业化现代化鉴定方法、规范化的验收记录。
OBJECTIVE: To retrospectively analyze the quality acceptance check of TCM Pieces in our hospital from 2010 to 2012, summarize the common problems and solutions of Pieces quality, and to ensure the curative effect and safety of clinical application. Methods: Collecting and receiving the quality inspection reports of TCM Pieces from 2010 to 2012 in our hospital, screened the acceptance reports of the unqualified quality of Pieces, statistics the unqualified quality of Pieces, and further classified the unqualified batch of Pieces quality inspection, a total of Divided into quality problems, breed inconsistencies, processing problems, storage problems, packaging problems, labeling issues six categories, the use of EXCEL statistical analysis of various types of causes and rank second, analyze the reasons, and thus explore future intervention experience. Results: The quality of Chinese medicine Pieces from 2010 to 2012, acceptance of a total of 13569 batches of inspection reports, of which 13295 batches of qualified, the qualified ratio of 97.981%, 274 batches failed, the unqualified ratio of 2.019%, unqualified issues include quality 11.68%, 11.68%, 11.68%, 42.64% processing, 14.23% storage, 8.03% packaging, and 27.74% labeling, of which the processing and labeling problems were the major ones that failed. Both of them accounted for the total unqualified batch Of the 54.38%. Conclusion: The quality of Chinese Herbal Medicine Pieces from 2010 to 2012 has a lot of problems, such as diversified types of manifestation, strengthening the quality of Herbal Pieces into storage and acceptance, which has the important practical significance to improve the quality of clinical medicinal Pieces and ensure the clinical efficacy and safety Sex, to ensure the quality of Chinese medicine Pieces of key elements is the legalization of purchase channels, the specialized modern appraisal methods, standardized acceptance records.