摘要
目的分析我院2018年有毒中药饮片的使用情况,进一步完善规范我院有毒中药饮片的使用,促进合理用药,最大程度的保障患者的用药安全。方法通过医院信息室系统查询2018年1~12月我院中药房门诊处方37321张,对处方中出现的有毒中药饮片毒性大小、实际应用剂量以及使用频次等进行分析。结果出现包含有毒和有小毒中药饮片的处方共14172张,占全年处方总量的37.97%。使用频率排名前3位的分别是清水半夏、炒苦杏仁、附子。有毒中药饮片超剂量使用处方有3144张,占有毒中药饮片处方量的22.18%,占处方总量的8.42%。有毒中药饮片超剂量应用的频次排名前3的中药饮片分别为附子、生艾叶、法水半夏。结论我院2018年使用有毒和有小毒中药饮片的处方量较大,在使用过程中必须严格遵循中医药理论,合理辨证使用,规范用法用量,最大程度的发挥有毒中药饮片的功效,保证患者用药安全。
Objective To analyze the use of poisonous Chinese medicine decoction pieces in our hospital in 2018,to further improve and standardize the use of poisonous Chinese medicine decoction pieces in our hospital,to promote rational use of medicines,and to ensure the maximum safety of patients'medicine use.Methods Through the hospital information room system,37,321 outpatient prescriptions of Chinese pharmacy in our hospital from January to December 2018 were queried,and the toxicity,actual dosage and frequency of toxic Chinese herbal medicines appearing in the prescription were analyzed.Results A total of 14,172 prescriptions containing toxic and toxic Chinese herbal medicine pieces appeared,accounting for 37.97%of the total prescriptions for the year.The top three in frequency of use are Shimizu Pinellia,fried bitter almonds,and aconite.There are 3144 prescriptions for overdose use of poisonous Chinese herbal medicines,accounting for 22.18%of the prescription of poisonous Chinese herbal medicines and 8.42%of the total prescriptions.The top 3 most frequently used Chinese herbal decoctions for toxic Chinese herbal decoctions overdose are Fuzi,Shengyiye,and Fashui Pinellia.Conclusion In 2018,our hospital used a large amount of prescriptions for toxic and small toxic Chinese herbal medicines.In the process of use,we must strictly follow the theory of Chinese medicine,reasonably use syndrome differentiation,standardize the usage and dosage,and maximize the efficacy of toxic Chinese herbal medicines to ensure patients medication safety.
作者
刘贵来
王菲
姜立根
杨璐
LIU Gui-lai;WANG Fei;JIANG Li-gen;YANG Lu(Department of Pharmacy,Tianjin Heping District Traditional Chinese Medicine Hospital,Tianjin 300050,China)
出处
《医学信息》
2020年第14期165-166,共2页
Journal of Medical Information
关键词
有毒中药饮片
处方
合理用药
Poisonous Chinese medicine decoction
Prescription
Reasonable medication
