绍兴文理学院附属医院儿科门诊、急诊中成药合理使用情况分析

Analysis of Rational Use of Chinese Patent Medicine in Pediatric Outpatient Department and Emergency Department of Affiliated Hospital of Shaoxing University

目的:分析儿科门诊、急诊中成药的合理用药情况。方法:选取儿科门诊、急诊2020年12月—2021年11月开出的所有中成药处方,共17 274张,统计分析处方中患儿的性别、年龄、诊断、中医证型、处方内容、用药剂量。并从中随机抽取5 000张处方,由医院处方点评组对处方进行点评。结果:男性患儿的处方多于女性患儿;2~3岁患儿的处方数量最多;主要用于治疗上呼吸道感染。使用数量排在前10位的中成药为肺力咳合剂、小儿柴桂退热颗粒、小儿豉翘清热颗粒、小儿解感颗粒、蒲地蓝消炎口服液、小儿肺热咳喘颗粒、小儿咳喘灵颗粒、通窍鼻炎颗粒、健儿清解液、小儿消食颗粒。共有169张为问题处方,问题发生率为3.38%。经药师逐一核对后,最终确认存在用药不适宜情况的处方数量最多,共103张,占问题处方的60.95%,其中占比最大的情况是重复用药,共有43张处方;其次是处方不规范,共51张(30.18%)。结论:儿科门诊、急诊存在中成药不合理使用情况,需要加强医生的中医药知识学习,增强合理用药意识。

Objective: To analyze the rational use of Chinese patent medicine in pediatric outpatient department and emergency department. Methods: A total of 17 274 prescriptions of Chinese patent medicine issued in pediatric outpatient department and emergency department from December 2020 to November 2021 were selected. The gender, age, diagnosis, traditional Chinese medicine syndrome types, prescription contents and medication dosage in the prescriptions were statistically analyzed. And 5 000 prescriptions were randomly selected and reviewed by the group of the hospital commented on the prescriptions. Results:There were more prescriptions for male children than female children. Children aged 2-3 years had the most prescriptions,which were mainly used to treat upper respiratory tract infections.The top 10 Chinese patent medicines in the number of use were Feilike Mixture, Xiao’er Chaigui Tuire Granules,Xiao’er Chiqiao Qingre Granules,Xiao’er Jiegan Granules,Pudilan Xiaoyan Oral Liquid,Xiao’er Feire Kechuan Granules,Xiao’er Kechuanling Granules,Tongqiao Biyan Granules,Jian’er Qingjie Liquid,Xiao’er Xiaoshi Granules. A total of 169 prescriptions were found to be problematic,with a rate of 3.38%.After checking by pharmacists one by one,the number of prescriptions with inappropriate medication was the largest,with totally 103 prescriptions,accounting for 60.95% of the problem prescriptions,among which repeated medication accounted for the largest proportion,with totally 43 prescriptions;the problem that followed was the non-standard prescriptions, with totally 51 pieces, accounting for 30.18%.Conclusion: The irrational use of Chinese patent medicine exists in pediatric outpatient department and emergency department. It is necessary to strengthen doctors’ knowledge of Chinese medicine and enhance their awareness of rational use of medicine.