国家基本药物目录2012版与2009版比较分析

Comparative analysis of the national essential medicines list between 2012 and 2009

目的比较国家基本药物目录2012版与2009版的异同,为临床用药提供参考。方法采用描述性分析方法,比较国家基本药物目录2012版与2009版在药物分类、剂型、数量及品种方面的差异。结果国家基本药物目录2012版较2009版增加190种药物,其中中成药增补103种,主要是内科用药增补63种与民族药21种;西药增补87种,主要是抗微生物药增补22种,镇痛、解热、抗炎、抗风湿、抗痛风药增补9种,消化系统用药增补12种及专科用药(含中成药)增补37种。国家基本药物目录2012版与2009版剂型增加2种,为滴剂和含片。结论虽然2012版目录比2009版增加了190种药物,与第一批浙江省基层医疗卫生机构增补药物目录(150种)重合41种,但是和现在的用药习惯还有很大的差距。因此,全面实施2012版目录还需要地方政府配套政策的支持。

Objective Compared with the difference of the national essential medicines list between 2012 and 2009 to provide reference for clinical medication. Methods Differences in the classification,formulation,quantity and varieties of national essential medicines list of 2012 and 2009 were compared by descriptive analysis. Results There were 190 durgs increased in the national essential medicines list of 2012,including 103 kinds of chinese patent medicine which major were 63 kinds of medical durgs and 21 kinds of ethnic medicine,and 87 kinds of western medicine which major were 24 kinds of anti-infective durgs,9 kinds of analgesic,antipyretic,anti-inflammatory,anti-rheumatic,anti-gout drugs,12 kinds of digestive system drugs and 37 kinds of specialty drugs（including chinese patent medicine） . There were 2 formulation inceased in the national essential medicines list of 2012 which were drops and buccal tablet. Conclusion Comparison of the list between 2012 and 2009,it was 190 durgs increased,with 41 drugs coincide with the additional drugs list of primary health care institutions in Zhejiang province,but it exist a great difference on drug habit. So full implementation of the list of 2012 need the support of the local government supporting policies.