2012—2014年郑州市第二人民医院中药注射剂临床使用情况分析

Analysis of the Utilization of Traditional Chinese Medicine Injections in Zhengzhou Second People's Hospital during 2012-2014 Period

目的:了解郑州市第二人民医院中药注射剂应用情况,为临床合理用药和提高药品管理水平提供参考。方法:对该院2012—2014年中药注射剂的用药金额、用药频度(DDDs)、限定日费用(DDC)、排序比(B/A值)等情况进行统计、分析。结果:该院中药注射剂用药金额年均增长率达55.90%,理血剂中药注射剂的用药金额、DDDs 3年排序均稳居首位。DDC相差较大,最高可达26倍,B/A值较大的DDDs亦较大,患者容易接受。结论:该院中药注射剂的使用量增长迅速,需加强用药管理和不良反应监测,促进临床合理使用。

OBJECTIVE： To investigate the utilization of traditional Chinese medicine （TCM） injections in Zhengzhou Second People＇s Hospital so as to provide reference for rational use of drugs and improvement of drug management. METHODS： The utilization of TCM injections in Zhengzhou Second People＇s Hospital during the period 2012-2014 were analyzed statistically in respect of consumption sum, DDDs, DDC and order ratio （B/A） etc. RESULTS ： The mean annual incremental rate of the consumption sum of TCM injections in this hospital was 55.90% ; blood- activating and stasis-dissolving TCM injections dominated the first place in the lists of consumption sum and DDDs for 3 years. The DDC varied greatly, with maximal DDC gap of 26-fold. The larger order ratio （B/A） value was associated with higher DDDs, which was likely to be accepted by patients. CONCLUSIONS ： The consumption of TCM injections in this hospital increased rapidly. It is important to intensify the drug management and monitoring of adverse drug reactions so as to promote clinical rational use of TCM injections.