某院静脉药物调配中心中药注射剂的使用情况分析

The use of traditional Chinese medicine injections in intravenous drug dispensing center of a hospital was analyzed retrospectively

目的本文通过对某医院静脉药物调配中心中药注射剂的使用情况进行全面调查,促进中药注射剂的合理化使用,并且为临床工作提供理论指导。方法使用回顾性分析的方式选择某医院药物调配中心2021年中药注射剂的用药情况,并全面分析具体的用药金额、DDDs数值、排序比等,针对中药注射剂的用药等情况,分别记录各类不合理医嘱的数量及其比例。结果该医院心脑血管类中药注射剂的用药金额量最大,分析DDDs数值,其中痰热清注射液数值最高,其次是醒脑静注射液。审方后发现医嘱不合理的数量有80例,其中药物稀释比例有误35例,溶媒不合理23例,药物剂量不合适10例,疗程不合适9例,配伍禁忌3例等原因。结论静脉药物调配中心需要按照具体的使用情况,加强对中药注射液的使用监管力度,保证患者的用药安全。

Objective This paper conducts a comprehensive investigation on the use of traditional Chinese medicine injections(TCMI)in PIVAS,promotes the rational use of TCMI,and provides theoretical guidance for clinical practice.Methods The use of TCMI in 2021 in PIVAS was selected by retrospective analysis,and the specific drug amount,DDDs,ranking ratio,etc.The number and proportion of unreasonable medical orders were comprehensively analyzed.Results The hospital’s cardiovascular and cerebrovascular TCMI had the largest amount of medication.Analyzing the DDDs,Tanreqing Injection had the highest value,followed by Xingnaojing Injection.After the trial,it was found that there were 80 cases of irrational prescriptions,including 35 cases of wrong drug dilution ratio,23 cases of unreasonable solvent,10 cases of inappropriate drug dose,9 cases of inappropriate course of treatment,and 3 cases of incompatibility.Conclusion PIVAS need to strengthen supervision on the use of TCMI according to the specific use conditions to ensure the safety of patients’medication.