广东省中医院中药注射剂使用情况分析
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R288

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Analysis of Use of Chinese Medicine Injections at Guangdong Hospital of Traditional Chinese Medicine
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    摘要:

    目的:分析广东省中医院住院患者中药注射剂的使用情况。方法:对608 例使用中药注射剂的住院患者的病历资料进行分析,参照《中药注射剂临床使用基本原则》及药品说明书,对患者的性别、年龄及中药注射剂使用科室、中药注射剂使用频次、用药合理性等情况进行统计分析。结果:608 例患者大部分集中在60 岁以上,占比71.71%;使用例数较多的科室为留观病区、透析科、介入科、综合病区、心律失常科;共使用20 种中药注射剂,参附注射液的使用频次最高;不合理使用中药注射剂有81 个病例,占比13.3%。不合理用药类型有适应症不适宜(占37.0%)、配伍浓度不适宜(占35.8%)、用量不适宜(占16.1%)、疗程不适宜(占11.1%)。结论:中药注射剂的使用仍存在一些不合理问题,需要不断提高医、药、护人员的专业水平,提高管理水平,确保临床合理用药。

    Abstract:

    Abstract: Objective: To analyze the use of Chinese medicine injections in inpatients of Guangdong Hospital of Traditional Chinese Medicine. Methods: The medical records of 608 inpatients using Chinese medicine injections were analyzed. According to the Basic Principles of Clinical Use of Chinese Medicine Injections and the Chinese medicine instructions, the patient's gender, age, department of Chinese medicine injections use, frequency of Chinese medicine injections and rationality of medicine use were statistically analyzed. Results:Most of 608 patients were over 60 years old,accounting for 71.71%. The departments with more cases were observation ward,dialysis ward,intervention ward,general ward and arrhythmia department. A total of 20 kinds of Chinese medicine injections were used,and Shenfu Injection was the most frequently used. There were 81 cases of irrational use of Chinese medicine injections, accounting for 13.3%. The types of irrational medicine use included unsuitable indications(37.0%),unsuitable incompatible concentration(35.8%),unsuitable dosage(16.1%) and unsuitable course of treatment(11.1%). Conclusion:There are still some unreasonable problems in the use of Chinese medicine injections,and it is necessary to continuously improve the professional level of doctors, pharmacists and nurses, and improve the management level to ensure rational medicine use in clinic.

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王琳,朱晨,梁盈军,区炳雄.广东省中医院中药注射剂使用情况分析[J].新中医,2022,54(14):207-210

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  • 在线发布日期: 2022-07-21
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