我院活血祛瘀中药注射剂用药合理性分析

Analysis of the Rationality of TCM Injections for Removing Stasis and Promoting Blood Circulation

目的:为临床合理使用中药注射剂提供参考。方法:对我院常用于治疗心脑血管疾病的8种中药注射剂各抽取100例住院患者的病例,对其给药方法、给药剂量、溶媒选择、溶媒用量、混合用药、适应证等情况进行分析;每药各抽取住院患者20例进行静脉滴注速度及不良反应的观察。结果:临床存在不合理用药情况,如超剂量、超浓度、溶媒选择错误、混合用药、滴速过快等。结论:临床治疗过程中应严格按照药品说明书及《中药注射剂临床使用基本原则》规定合理用药。

OBJECTIVE：To provide reference for rational use of TCM injections in the clinic.METHODS：100 inpatients receiving 8 kinds of TCM injections for heart cerebrovascular disease were sampled in our hospital,respectively.The usage,dosage,solvent selection,solvent amount,drug medication,indications,etc.were analyzed;20 inpatients were sampled to observe the dripping speed and adverse drug reaction for every TCM injections.RESULTS：Irrational use of drugs existed,such as excessive dosage,excessive concentration,wrong solvent selection,blending medicines,exceedingly fast dripping speed.CONCLUSION：Medical personnel should use the drug rationally,strictly according to the drug package inserts and the Basic Principle of Clinical Use of TCM Injections.