我院2013年6月-2014年6月肺癌住院患者使用中药注射剂的合理性分析

Analysis of the Rationality of TCM Injection in the Inpatients with Lung Cancer in Our Hospital from Jun.2013 to Jun. 2014

目的:为肺癌患者合理使用中药注射剂提供参考。方法:选取我院医院信息系统(HIS)中2013年6月-2014年6月使用中药注射剂的肺癌住院患者病历资料256份,对中药注射剂适应证、单次剂量、溶剂、疗程及联合用药等方面进行合理性分析。结果:中药注射剂使用品种为7种,在256份病历资料中共使用851例次,使用最多的分别依次为斑蝥酸钠维生素B6注射液(427例次)、参附注射液(248例次)、康艾注射液(81例次)。单一品种用药571例次,两种中药注射剂联用280例次(32.90%),其中斑蝥酸钠维生素B6注射液与参附注射液联用217例次(77.50%)。中药注射剂不合理使用主要表现为溶剂用量不适宜(94例次)、疗程不适宜(87例次)、溶剂品种不适宜(31例次)、给药剂量不适宜(17例次)及联合用药不适宜(2例次)。结论:中药注射剂不规范使用须引起临床重视,正确认识中药注射剂的安全问题,做到辨证施治、合理用药。

OBJECTIVE：To provide reference for the rational use of TCM injection in patients with lung cancer. METHODS：The medical information of 256 inpatients with lung cancer receiving TCM injection in our hospital during Jun. 2013 Jun. 2014 were collected from HIS system of our hospital to analysis statistically in respects of indications,single dose,menstruum,course and drug combination,etc. RESULTS：7 kinds of TCM injection were used,851 cases were used among the 256 medical records,and the most used types were Sodium cantharidinate and vitamin B6injection（427 cases）,Shenfu injection（248 cases）,and Kang’ai injection（81 cases）. There were 571 cases of single variety treatment（67.1%）;280 cases of combination treatment of 2 kinds of TCM injection accounted for（32.90%）;217 cases of Sodium sodium cantharidinate and vitamin B6 injection combined with Shenfu injection accounted for（77.50%）. The irrational use of TCM injection were mainly unsuitable menstruum dose（94 cases）,unsuitable course of treatment（87 cases）,unsuitable menstruum variety（31 cases）,inappropriate dose（17 cases）and unsuitable drug combination（2 cases）. CONCLUSIONS：Great importance should be attached to non-standard use of TCM injection and the safety of TCM injection. It should be emphasized to determine the treatment based on differentiation of symptoms and signs and use drugs rationally.