我院内服煎剂处方分析

Analysis on Prescriptions of Oral Traditional Chinese Medicinal Decoctions

目的:了解我院内服煎剂的用药特点和用量情况。方法:将我院内科细分为8个专业科室,从每个科室随机抽取6名副高以上职称医师开具的内服煎剂处方,并将处方中每味中药及其用量录入数据库,采用Weka数据挖掘软件进行分析。结果:处方中药物使用频率≥5%的中药有68种,以补虚药频率最高,清热药次之,然后是活血化瘀药、化痰止咳平喘药等;使用频率≥1%的中药有193种,其中药物剂量超过《中国药典》规定剂量的中药有160种,占83%;超量处方百分比≥50%的中药有52种,占27%。结论:我院内服煎剂在用量上普遍超出《中国药典》规定剂量,应引起相关部门重视。

OBJECTIVE： To probe into the utilization characteristics and the consumption of oral traditional Chinese medicinal decoctions in our hospital. METHODS： The department of internal medicine in our hospital was subdivided into 8 special divisions. 6 physicians of senior professional title（associated professor or above） from each subdivision were randomly selected for analysis of the prescriptions of oral traditional Chinese medicinal decoctions prescribed by the 48 physicians. The ingredients and their dosages in the prescriptions were recorded to database and analyzed by Weka data mining software. RESULTS： The drug use frequency of no less than 5% was noted in 68 kinds of oral traditional Chinese medicinal decoctions, with the drugs for reinforcing deficiency showing the highest drug use frequency, followed by drug for clearing heat, drugs for blood - activating and stasis - dissolving, drugs for eliminating sputum and relieving cough and asthma etc. The drug use frequency of no less than 1% was noted in 193 kinds, of which, 160（83% ） whose doses exceeded the specified limit value specified in Chinese Pharmacopeia , and in 52 kinds（27% ）, the proportion of prescriptions involving overdosing was no less than 50% . CONCLUSION： The concerned departments should attached great importance to the widespread phenomenon that the dosages of oral traditional Chinese medicinal decoctions in our hospital exceed the specified dosages in Chinese Pharmacopeia .