摘要
目的:了解某院中药注射剂的临床应用情况,探讨不合理使用的原因,促进中药注射剂的临床合理应用。方法:通过医院信息系统(HIS),调取2022—2024年该院的中药注射剂品种、数量、金额等数据,利用Excel软件统计用药频度(DDDs)、限定日费用(DDC),并抽取使用中药注射剂的病例(每年抽取500份病历)进行点评分析,探讨不合理用药的原因。结果:2022—2024年,该院使用的中药注射剂品规数由39种逐年减少为28种,中药注射剂使用金额占全院药品总金额的比例亦呈逐年降低趋势。活血化瘀类中药注射剂的品种数为12种,在该院中药注射剂中占比较高,使用金额也相对较高。2022—2024年,该院中药注射剂不合理使用率分别为26.40%(132/500)、17.00%(85/500)、9.00%(45/500),呈逐步降低趋势,但仍存在不合理用药,主要表现为适应证不适宜、用法用量不适宜、联合用药不适宜、用药疗程不适宜等方面。结论:该院中药注射剂的应用较广泛,存在不合理使用的情况,需要进一步加强干预措施,规范中药注射剂的合理应用。
OBJECTIVE:To investigate the clinical application of traditional Chinese medicine(TCM)injection in a hospital,and probe into the reasons of irrational application,so as to promote clinical rational application of TCM injection.METHODS:Through Hospital Information System(HIS),data of categories,amounts and consumption sum of TCM injection in the hospital from 2022 to 2024 were retrieved,Excel software was used to calculate the defined daily dose system(DDDs)and defined daily cost(DDC),and clinical cases received TCM injection(500 medical records per year)were extracted for review and analysis to discuss the reasons of irrational application.RESULTS:From 2022 to 2024,the number of specifications for TCM injection decreased from 39 to 28 year by year,the proportions of the consumption sum of TCM injection accounted for the total consumption sum of drugs also showed a downward trend year by year.There were 12 varieties of TCM injection agents for promoting blood circulation and removing blood stasis,which account for a relatively high proportion among the TCM injection agents in the hospital,and the consumption sum was also relatively high.The categories of TCM injection with the function of promoting blood circulation and resolving stasis accounted for a higher proportion,with relative high usage frequency.From 2022 to 2024,the irrational application rates of TCM injection in the hospital were respectively 26.40%(132/500),17.00%(85/500)and 9.00%(45/500),with downward trend.However,there was still irrational medication,mainly manifested in inappropriate indication,improper usage and dosage,inappropriate drug combination and inappropriate treatment course.CONCLUSIONS:TCM injections are widely used in the hospital,yet there are some irrational application.It is necessary to strengthen the intervention measures and standardize the rational application of TCM injections.
作者
张雨凤
方成武
朱月皓
李阳
ZHANG Yufeng;FANG Chengwu;ZHU Yuehao;LI Yang(Dept.of Pharmacy,Bengbu Municipal Second People’s Hospital,Anhui Bengbu 233000,China;School of Pharmacy,Anhui University of Chinese Medicine,Hefei 230012,China)
出处
《中国医院用药评价与分析》
2025年第8期1003-1005,1010,共4页
Evaluation and Analysis of Drug-use in Hospitals of China
基金
中央本级重大增减支项目(No.2060302-2301-17)
蚌埠市科技创新基金(No.20210308)。
关键词
中药注射剂
用药频度
限定日费用
用药分析
合理用药
Traditional Chinese medicine injection
Defined daily dose system
Defined daily cost
Analysis of drug application
Rational medication
