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目的:了解医院门诊肿瘤患者中草药处方情况,为指导临床合理使用中药治疗肿瘤疾病提供参考。方法:随机抽取天津市肿瘤医院2015年1-12月中医科门诊肿瘤患者(1 518例)的5 800张中草药处方,采用Excel中的直方图分析法,对其进行一般性描述和针对性分析。结果:40岁以上人群的患肿瘤人数急剧上升,且发生于人体多个系统;所用药味平均约17味,14付剂占84%,处方金额平均每剂约46元;用药种类方面,共用281种中药,以扶正固本、清热解毒、活血化瘀药最为常用,处方中出现频率居前3位的依次是茯苓、当归和甘草。结论:我院中医科专家通过辨证论治,从整体观念出发,遣方用药合理,主要通过扶正固本、清热解毒与活血化瘀药联合运用,再与其他不同疗效的中药相配伍,达到治疗肿瘤疾病、提高患者生存质量的目的。可为临床抗癌中药的合理使用提供借鉴,同时需要进一步深入研究药物之间的配伍关系,以提高中药治疗肿瘤的效果。
Objective: To understand the prescription of Chinese herbal medicine in outpatient outpatients with cancer and provide a reference for clinical use of traditional Chinese medicine in the treatment of oncological diseases. Methods: A total of 5 800 Chinese herbal prescriptions for cancer patients (1 518 cases) from January to December 2015 in Tianjin Cancer Hospital from January 2015 to December 2015 were randomly selected and analyzed by histogram analysis in Excel. The general description and the targeted analysis . Results: The number of cancer patients in the population over the age of 40 rose sharply and occurred in multiple systems of the human body. The medication used had an average of about 17 flavors, with 84 doses of 14 drugs and an average prescription cost of 46 yuan per prescription. In the medication categories, 281 kinds of traditional Chinese medicine to Fuzhengqian Ben, Qingrejiedu, promoting blood circulation drugs most commonly used, prescriptions appear in the top three followed by Poria, Angelica and licorice. Conclusion: TCM experts in our hospital through syndrome differentiation and treatment, starting from the overall concept, sent prescription medication is reasonable, mainly through the Fuzhengqian, Qingrejiedu combined with promoting blood circulation drugs, and then with different efficacy of traditional Chinese medicine matched to achieve the treatment of cancer disease , Improve patient quality of life purposes. Can provide reference for the rational use of clinical anti-cancer medicine, and need to further study the compatibility between drugs in order to improve the effect of traditional Chinese medicine treatment of cancer.