我院心血管内科中药用药分析

Analysis of traditional Chinese medicine usage in cardiovascular internal medicine department of our hospital

目的收集本院心血管内科患者中药使用情况,并分析其合理性,根据分析指导心血管内科用药,促进本院心血管内科中药或中西药联合用药合理使用。方法对本院2018年11月~2020年11月心血管内科患者中药使用情况进行系统收集,分析心血管内科患者性别、年龄分布、疾病诊断情况,心血管内科住院及门诊中西药使用情况。结果研究期间,本院心血管内科共收治患者5877例,男女比为3436∶2441。患者年龄构成:<40岁199例;40~49岁366例, 50~59岁984例, 60~69岁1496例,>69岁2832例。疾病诊断占比较大的依次为心绞痛(32.2%)、左心衰(18.1%)、心肌梗死(17.2%)、冠状动脉粥样硬化(11.0%)、慢性阻塞性肺疾病伴下呼吸道感染(5.9%)等。本院心血管内科住院中药占该科总药品金额的9.94%,门诊心血内科中药使用占门诊该科总药品使用的10.03%。结论本院心血管内科中药用药存在相关问题,药师应加强与临床医生沟通,作出合理建议,使本院心血管内科中药用药质量得到持续改进。

Objective To collect the traditional Chinese medicine usage in patients in cardiovascular internal medicine department of our hospital,and to analyze its rationality,so as to guide the drug use in internal medicine department,and advance rational drug use of traditional Chinese medicine or combination therapy of Chinese and western medicine in cardiovascular internal medicine department of our hospital.Methods From November 2018 to November 2020,the use of traditional Chinese medicine in patients in cardiovascular internal medicine department of our hospital was systematically collected.Gender,age distribution,disease diagnosis,and the combination therapy use of Chinese and Western medicine in the inpatient section and the outpatient section of cardiovascular internal medicine department were analyzed.Results In the present study,5877 patients were accepted and treated in the cardiovascular internal medicine department of our hospital,with a ration of male to female of 3436∶2441.The age distribution was as following:199 patients with an age<40 years old;366 patients with an age between 40-49 years old;984 patients with an age between 50-59 years old;1496 patients with an age between 60-69 years old;and 2832 patients with an age>69 years old.In the disease diagnosis,the order of disease from high percent to low percent was angina pectoris(32.2%),left heart failure(18.1%),myocardial infarction(17.2%),coronary atherosclerosis(11.0%),chronic obstructive pulmonary disease with lower respiratory tract infection(5.9%)and others.The traditional Chinese medicine consumption in the inpatient section of cardiovascular internal medicine department was 9.94%of the total drug consumption in the cardiovascular internal medicine department,and the traditional Chinese medicine consumption in the outpatient section of cardiovascular internal medicine department was 10.03%of the total drug consumption in the cardiovascular internal medicine department.Conclusion There are some problems in the use of traditional Chinese medicine in cardiovascular internal medicine department of our hospital.Pharmacists should improve communication with clinicians and make reasonable suggestions,so as to continuously advance rational drug use of traditional Chinese medicine in cardiovascular department of our hospital.