6家“三甲”医院中成药使用状况分析

Analysis of the Use of Chinese Patent Medicine in 6 Class 3 Grade A Hospitals

目的:了解不同类别医院中成药使用现状,促进临床合理用药。方法:对2009年4-10月河南省6家"三甲"医院中成药用药金额、用药品种数据进行统计、分析,并抽取门诊处方进行合理性评价。结果:6家医院中成药使用广泛,使用过程中存在诸多不合理现象,其中诊断名称不规范者10.3%,诊断与用药不符者19.7%,联合用药不合理者4.0%,用法用量不当者38.0%,疗程不当者32.0%,以上现象以综合性医院尤为显著。另外,综合性医院均根据西医辨病选用中成药。结论:为使中成药合理使用,应规范临床使用过程,加强临床医师中医药知识的培训,同时加强中成药西医辨病研究,完善药品说明书内容。

OBJECTIVE： To investigate the condition of Chinese patent medicine in different hospitals, in order to promote rational drug use. METHODS： The data of the Chinese patent medicine＇s consumption sum, varieties in six class 3 grade A hospitals in Henan province from Apr. to Oct. in 2009 was analyzed statistically. The rationality of outpatient prescriptions was evaluated. RESULTS： In six hospitals the Chinese patent medicine was widely used, there were many unreasonable phenomenon： the diagnosis of which 10.3% were non-standard names, 19.7% diagnosis and treatment were not consistent, 4.0% combination therapy were unreasonable, improper usage and dosage accounted for 38.0%, 32.0% treatment were inappropriate, especially in comprehensive hospital. In addition the Chinese patent medicine was chosen according to western medicine diseases identification. CONCLUSIONS： To make rational use of the Chinese patent medicine, should regulate the process of clinical use, enhance the training of TCM knowledge among clinicians, strengthen western medicine diseases identification research, increase the content of package insert.