上海交通大学医学院附属第三人民医院2009-2011年门诊药房活血化瘀药用药情况分析

Utilization of traditional Chinese herbal drugs for promoting blood circulation to remove blood stasis in the outpatient pharmacy of Shanghai Third People's Hospital,School of Medicine,Shanghai Jiaotong University from 2009 to 2011

目的:统计分析上海交通大学医学院附属第三人民医院2009-2011年活血化瘀药的使用情况,为临床合理用药提供参考。方法:采用药品限定日剂量分析法,对本院门诊药房2009-2011年所用的活血化瘀药的品种、用药金额、用药频度(DDDs)和日均费用(DDC)进行回顾性分析。结果:本院2009-2011年门诊药房活血化瘀药总用药金额分别为913.0、872.1和1 092.1万元。DDDs排序第一的是丹参片,DDC排序第一的是血府逐瘀胶囊。有9种药品的用药金额排序/DDDs排序比值接近1,排序比值正偏离最大的是丹参片,负偏离最大的是益母草颗粒。结论:本院门诊活血化瘀药的用药合理性有待加强。

Objective： To analyze the utilization of traditional Chinese herbal drugs for promoting blood circulation to remove blood stasis in the outpatient pharmacy of Shanghai Third People＇s Hospital,School of Medicine,Shanghai Jiaotong University from 2009 to 2011,so as to provide evidence for rational utilization of drugs in clinics.Methods：A retrospective analysis was made on the categories,consumption sum,DDDs and daily dose cost of various Chinese herbal drugs for promoting blood circulation to remove blood stasis in the outpatient pharmacy of the hospital from 2009 to 2011,by using the defined daily dose（DDD） analysis.Results： The consumption sum of various Chinese herbal drugs for promoting blood circulation to remove blood stasis in the outpatient pharmacy were 9.130,8.721 and 10.921 million in RMB,respectively,from 2009 to 2011.Danshen tablets ranked the first in DDDs and Xuefuzhuyu capsule ranked the first in DDC.The ratios of consumption sum to DDDs of the 9 drugs almost reached 1（0.8-1.2）.The order ratio of Danshen tablet was the highest and that of Motherwort granule was the lowest.Conclusion： Use of traditional Chinese herbal drugs for promoting blood circulation to remove blood stasis in the hospital needs further improvement.