某院1089张中药饮片处方中毒性中药使用的合理性分析

Rationality Analysis on Toxic Traditional Chinese Medicine Used in 1089 Prescriptions of Traditional Chinese Medicine Decoction Pieces in a Hospital

目的:分析医院门诊中药处方中毒性中药使用情况与合理性,为临床安全、合理使用毒性中药提供参考。方法:调取医院2016年7月—12月门诊患者中药处方3 374张,统计与分析处方中毒性中药的使用情况与合理性。结果:抽取的3 374张中药处方中,其中涉及毒性中药饮片处方1 089张和有毒、小毒中药22种;使用科室主要是肿瘤科,其次为中医科、心内科等;处方中含1味毒性中药的单张处方为最多,其次为含2味毒性中药的处方,再则含3味及以上毒性中药的处方,但较少;中药附子是使用最多的中药饮片。结论:医院毒性中药的使用较为普遍,医院行政部门应制定"毒性中药饮片的使用与管理规范",避免不良事故的发生,以确保毒性中药饮片使用的安全。

Objective: To analyze the usage and rationality of toxic traditional Chinese medicine in out-patient prescriptions of Traditional Chinese medicine(TCM) in order to provide reference for clinical safety and rational usage of toxic traditional Chinese medicine. Methods: A total of 3 374 TCM prescriptions were collected from outpatients in our hospital from July to December 2016, and the use of toxic TCM prescriptions and its rationality were statistically analyzed. Results: In 3 374 TCM prescriptions, 1 089 prescriptions of toxic TCM prepared pieces and 22 kinds of toxic and minor toxic TCM prescriptions were involved. Department of Oncology, followed by Department of Traditional Chinese Medicine and Department of Cardiology. In the prescriptions, the single prescription containing 1 kind of toxic Chinese herbal medicine was the most, followed by the prescription containing 2 kinds of toxic Chinese herbal medicine, and then the prescription containing 3 kinds or more of toxic Chinese herbal medicine was less. Aconiti Lateralis Radix Praepapata is the most widely used traditional Chinese medicine. Conclusions: The use of toxic TCM in hospital is very common, so the administrative department of hospital should formulate "the use and management norms of toxic TCM decoction pieces" to avoid the occurrence of adverse accidents, so as to ensure the safe usage of toxic TCM decoction pieces for patients.