我院2013年中药配方颗粒应用分析

Analysis of the Use of TCM Formula Granules in Our Hospital in 2013

目的:为临床合理使用中药配方颗粒提供参考。方法:采用分层定比法随机抽取我院门诊2013年1-12月中药配方颗粒处方,按每月上、中、下旬各40张抽取,采用Excel统计处方中患儿信息、临床诊断、中药配方颗粒品种、使用频率、使用量等,并将用药剂量与2010年版《中国药典》规定剂量进行比较分析。结果:中药配方颗粒使用以12岁以下患儿为主,占95.90%;呼吸系统及消化系统疾病患儿使用中药配方颗粒较多,使用量最大的品种为桔梗。此次调查涉及中药配方颗粒231种,占全部颗粒的90.23%,大多数用药剂量符合2010年版《中国药典》规定。结论:临床仍存在使用中药配方颗粒剂量不符合《中国药典》规定的现象,可能与医师用药习惯有关,需引起注意。

OBJECTIVE： To provide reference for the rational use of TCM formula granules. METHODS： Stratified propor- tion method was adopted to randomly sample the outpatient prescriptions of TCM formula granules in our hospital which were giv- en from Jan. to Dec. 2013 and 40 respectively from the first, middle and last ten days of that month. The children＇s information, clinical diagnoses, the variety of TCM formula granules, the frequencies and amounts of granules used were statistically analyzed by Excel. The doses were compared with the standard doses in Chinese Pharmacopoeia （2010 edition） and analyzed, RESULTS： Most of children using TCM formula granules were under the age of 12 （95.90%） ; and children with respiratory system diseases and digestive system diseases used more TCM formula granules and Platycodon grandiflorus was the most usage one. This study was covered 231 types of TCM formula granules, accounting for 90.23% in all granules. And the usage of most medicine was in line with the requirements of Chinese Pharmacopoeia. CONCLUSIONS ： There still exists the phenomenon that the doses of TCM formula granules do not meet the requirements of Chinese Pharmacopoeia, which may be related to the doctor＇ s habit of clinically medication, and it needs great attention.