基于加权逼近理想解的排序法评价丹参多酚酸盐的应用合理性

Evaluation of Rationality of Salvianolate Based on Weighted Technique for Order Preference by Similarity to Ideal Solution Method

目的建立丹参多酚酸盐的应用合理性评价标准,通过加权逼近理想解的排序(TOPSIS)法对丹参多酚酸盐的应用情况进行分析、评价,为其临床合理使用提供参考。方法以药品说明书为基础,结合原国家食品药品监督管理局等颁布的《中药注射剂临床使用基本原则》和相关文献,制定应用丹参多酚酸盐合理性评价标准。据此标准细则采用加权的TOPSIS对2018年某院80例使用丹参多酚酸盐的患者病历进行分析。结果80例患者的病历评价中,相对接近度≥60%的64例(80.0%),50%~<60%的12例(15.0%),40%~<50%的4例(5.0%)。结论基于加权TOPSIS法的丹参多酚酸盐合理性评价方法能将多个评价指标进行结合,可操作性强,评价结果直观可信。应加强丹参多酚酸盐应用的宣教与管理,促进临床合理用药。

Objective To establish a rational evaluation criteria for salvianolate in a hospital,and to analyze the use of salvianolate by weighted technique for order preference by similarity to ideal solution(TOPSIS)method,so as to provide a reference for the rational use of salvianolate in clinical practice.Methods Establishing the rational evaluation criteria of salvianolate by the drug label,basic principlesof clinical use of traditional Chinese medicine injection issued by the State Administration of Food and Drugs,and relevant literature.According to this standard rules to analyze and evaluate 80 cases of salvianolate archived medical records in a hospital in 2018 by weighted TOPSIS method.Results Among the 80 cases,64 cases(80.0%)had relative degree of proximity of more than 60%,12 cases(15.0%)from 50%to 60%,and 4 cases(5.0%)from 40%to 50%.Conclusion The rationality evaluation method for salvianolate based on the weighted TOPSIS method can combine multiple evaluation indicators,it has strong operability and intuitive evaluation results.The application of salvianolate in this hospital is relatively standardized,but it still have some problems.Therefore,education and management should be strengthened to promote rational clinical medication.