中药处方分析在中药房药事服务中的应用

Application of analysis of traditional Chinese medicine prescriptions in pharmaceutical services in Chinese pharmacy

目的探讨中药处方分析在中药房药学服务中的应用。方法选取2018年1月至2019年12月邳州市人民医院药剂科所收集的2000张中药处方作为研究对象,按时间顺序分为研究组(2019年1-12月)与对照组(2018年1-12月),首先对对照组处方中的不合理中药处方进行评价与分析,然后针对存在的问题采取相关干预措施后再对研究组的中药处方进行观察与分析。最后对两组的中药处方中的不合理处方的百分率进行比较。结果本研究所选的处方中三七、山药、赤芍、葛根、丹参、桃仁、茯苓、红花、当归及黄芪的使用频率>60%,而鹿茸、甘草、大黄、金银花、枸杞、天麻、大枣、葛根、薏苡仁及川芎的使用频率>20%。对照组不合理中药处方类型当中,方证不符、煎药方法不正确、中药注射剂用法用量不当、重复用药分别为53、25、19、19、17张,占13.30%。2019年1月采取控制干预措施后,抽出的1000张研究组的中药药品处方中不合理中药处方占1.00%。结论不合理中药处方容易影响患者健康,通过分析不合理中药处方的类型并采取处方分析的方法,可减少不合理中药处方,更好地提高服药的正确性和安全性。

Objective To explore the application of analysis of traditional Chinese medicine prescriptions in pharmaceutical services of Chinese pharmacy.Methods A total of 2000 prescriptions of traditional Chinese medicine(TCM)collected by the Department of Pharmacy of the People's Hospital of Pizhou City from January 2018 to December 2019 were selected and divided into the study group(January 2019 to December 2019)and the control group(January 2018 to December 2018)according to the time order.Firstly,the unreasonable TCM prescriptions in the control group were evaluated and analyzed.Then the TCM prescriptions of the study group were observed and analyzed after taking relevant intervention measures in view of the existing problems.Ultimately,the percentage of unreasonable TCM prescriptions was compared between the two groups.Results Among the prescriptions selected in this study,the frequently used TCM more than 60%included the root of pseudo-ginseng,common yam rhizome,common peony root,lobed kudzuvine root,root of red rooted salvia,peach seed,tuckahoe,safflower,Chinese angelica root and membranous milkvetch root,while hairy antler,licorice,rhubarb,Japanese honeysuckle,Chinese wolfberry,gastrodia elata,jujube,lobed kudzuvine root,Coix seed and the rhizoma of Chuanxiong were used frequently more than 20%.Among the types of unreasonable TCM prescriptions in the control group,non-correspondence between prescriptions and syndromes,incorrect decoction methods,improper usage of TCM injections,repeated use of drugs were 53,25,19,19,17 respectively,accounting for 13.30%.After the control intervention measures were taken in January 2019,the unreasonable TCM prescriptions accounted for 1.00%of the 1000 TCM prescriptions in the study group.Conclusion The unreasonable TCM prescriptions are easy to affect the health of patients.By analyzing the types of unreasonable TCM prescriptions and adopting the method of prescription analysis,the incidence of unreasonable TCM prescriptions can be reduced and the correctness and safety of medicine taking can be greatly improved.