某院200张中度溃疡性结肠炎治疗有效患者的首次中药饮片处方用药情况分析

Analysis of The First Effective Prescription of Chinese Herbal Medicine in 200 Patients with Moderate Ulcerative Colitis in A Hospital

目的:分析医院脾胃科200张中度溃疡性结肠炎治疗有效患者的首次中药饮片处方用药情况,了解中药饮片治疗溃疡性结肠炎的用药规律。方法:抽取2020年苏州市中医医院脾胃科门诊诊断为中度溃疡性结肠炎的中药饮片处方200张,统计分析溃疡性结肠炎患者的性别、年龄分布,每剂处方用药味数占比,不同剂数的处方占比,不同单剂药量的处方占比,处方每剂费用占比,以及处方使用中药性、味和归经占比及处方主要证型的占比。结果:患者的年龄区间以>55岁的占比最高,200张处方用药味数占比排名最高的为>10~15味,处方剂数7剂的130张(占65.00%),明显高于14剂的为70张(占35.00%),处方每剂药量>150~250 g最多,占总处方数的46.50%(93/200),处方每剂费用为>30~40元最多,占总处方数的58.00%(116/200);处方单用中药的性、味、归经统计显示,以苦温入脾经药物占比最高,证型以大肠湿热证和脾虚湿蕴证为主。结论:采取中医个体化的治疗方法对中度溃疡性结肠炎患者有效的首次中药饮片处方,苦温入脾经药物为常用且与湿热证相关,多建立在保证患者临床用药安全、有效、经济的基础之上。

Objective:To investigate and analyze the first prescription of Chinese herbal medicine for ulcerative colitis patients in department of spleen and stomach of a TCM hospital in suzhou so as to understand the rules of medication of TCM decoctions for ulcerative colitis.Methods:200 prescriptions of Chinese herbal pieces were drawn from patients diagnosed as moderate ulcerative colitis in an outpatient department of the spleen and Stomach Department of the Suzhou Hospital of Traditional Chinese medicine,the patients’sex,age,the number of drugs prescribed,the dosage per dose,the sum of money per dose of a single prescription and the distribution of the properties of a single traditional Chinese medicine were investigated and analyzed.Results:Among the 200 effective prescriptions for ulcerative colitis patients,the age distribution was>55 years old,the number of drug flavors was>10-15,the dose number was 7,the most common dosage was>151-250 g,and the dosage fee was>30-40 yuan,the number of drug flavors,dosage and cost are reasonable.In addition,the proportion of drugs with bitter warm entering the spleen is the biggest,and the main types of syndrome are dampness-heat syndrome of large intestine and dampness-accumulation syndrome of spleen deficiency.Conclusion:The first effective prescription of Chinese herbal medicine for the patients with moderate ulcerative colitis is the individualized treatment,which is often used to ensure the safety,effectiveness and economy of clinical medication.Bitter-warm entering spleen meridian drugs are commonly used and related to damp-heat syndrome.