某院2016年—2018年中药注射剂临床使用专项点评及其合理性分析

Analysis on Clinical Medication of Special Comments and Rationality of of TCM Injection in a Hospital from 2016 to 2018

目的:分析医院3年间中药注射剂的临床使用情况及其合理性,为临床合理用药提供参考。方法:抽取2016年—2018年3年间中药注射剂临床使用品种、用药金额、用药频度(DDDs)、日均用药金额(DDC)等资料,分析其用药规律和临床用药的合理性。结果:3年间医院中药注射剂的用药金额逐年下降,这与中药注射剂价格调整有关;其中排名前3位的主要是抗癌药物、理血剂和肿瘤辅助药物,清热剂和开窍剂的DDDs排名较靠前;醒脑静注射液和热毒宁注射液DDDs连续3年名列榜首。结论:中药注射剂静脉药物的不合理用药现象得到显著改善,不合理医嘱发生率逐年下降,有效遏制了中药注射剂不合理用药事件的发生。

Objective:To analyze the clinical medication and rationality of Traditional Chinese Medicine(TCM)injections in a hospital during the past 3 years,and to provide a references for rational clinical use.Methods:Data such as the drug kinds,consumption sum,DDDs,DDC etc.of TCM injections in the 3 years from 2016 to 2018 were extracted to analyze the regularity of drug use and the rationality of clinical use.Results:The amount of money used for TCM injection in our hospital has decreased greatly in the past 3 years,which is related to the adjustment of the price of TCM injection,in which anticancer drugs,blood-regulating agents and tumor-assisted TCM injections rank the top three in clinical use.DDDs of antipyretic and antipyretic agents Xingnaojing injection and Reduning injection DDDs ranked top for 3 consecutive years.Conclusion:The unreasonable usage of intravenous drugs in TCM injections has been significantly improved,and the incidence of unreasonable medical advice has been decreasing year by year,effectively preventing the occurrence of unreasonable usage of TCM injections.