某院中医科儿童中药用药分析

Analysis of Chinese Herbal Medicine for Children in Department of Traditional Chinese Medicine

目的统计某院中医科儿童中药处方,分析用药特点及使用规律,为临床合理用药提供参考依据。方法抽取该院中医科2017年4月的儿童处方共659张作为研究对象,采用Excel统计软件分析患儿的性别比例、发病年龄、发病类型、常用药物频次以及主要病症所用中药频次等相关规律。结果患儿男女比例约为1.2∶1;年龄主要以1~4岁为主,4岁儿童占比最高(26.56%);发病类型主要以咳嗽(37.63%)及气管炎症(33.84%)等疾病为主;所有处方用药频次最高的依次为甘草、苦杏仁、麻黄、款冬花、薏苡仁等,常用两药物配伍中,以甘草、款冬花最高,常用三药物配伍中,以甘草、款冬花、法半夏最高,而咳嗽用药频次最高的则依次为甘草、苦杏仁、款冬花、麻黄及毛冬青等。结论该院中医科儿童处方用药分布合理,表明临床医生对儿童用药的选择慎重,该结果将有利于中药质量的提高,减少医疗隐患。

OBJECTIVE To analyzed the Chinese herbal prescription in the department of traditional Chinese medicine,so as to provide reference for clinical rational drug use. METHODS A total of 659 childrens prescriptions were selected from the department of traditional Chinese medicine of our hospital in April 2017. The excel statistical software was used to analyze the gender ratio,age of onset,type of onset,frequency of commonly used drugs,and the frequency of traditional Chinese medicine used in major diseases.RESULTS The sex ratio was about 1.2 ∶1; The age was mainly 1-4 years old,with 4 years old accounted for the highest（ 26.56%）;The main types of disease were cough（ 37.63%） and tracheal inflammation（ 33.84%）; The highest frequency drugs of all prescription were licorice,bitter almond,ephedra,coltsfoot,coix seed etc; The highest frequency of cough medication were licorice,bitter almond,ephedra,coltsfoot,pubescent holly root. CONCLUSION The distribution of children  s prescription drugs in our hospital is reasonable,and the results will be helpful to improve the rational use of traditional Chinese medicine.