某院2019-2023年中药注射剂使用情况分析

Analysis on the Use of TCM Injections in a Hospital from 2019 to 2023

目的 对首都医科大学附属北京中医医院2019-2023年中药注射剂使用情况进行回顾性分析,评价临床用药合理性,为新形势下临床用药提供理论指导。方法 收集该院2019-2023年中药注射剂相关使用数据,采用回顾性分析方法对其使用情况与变化规律进行分析。结果 2019-2023年,该院中药注射剂总体使用金额和占西成药使用金额比均呈逐年下降趋势,抗肿瘤药中药注射剂使用金额虽逐年下降但排名仍稳定靠前,开窍剂、肿瘤辅助用药中药注射剂使用金额呈下降趋势;中药注射剂使用金额、用药频度、限定日费用变化波动较大,与医保政策、纳入国家谈判药品有一定相关性;新型冠状病毒感染和医疗政策对中药注射剂的使用均有较大影响。结论 中药注射剂的使用情况受政策和社会环境影响,应加大对中药注射剂使用的监管力度,保障合理用药和用药安全。

Objective To retrospectively analyse the use of TCM injections in Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University from 2019 to 2023;To evaluate the reasonableness of its clinical use of medication;To provide theoretical guidance for clinical work in the new situation.Methods Relevant data on the use of TCM injections in a hospital from 2019 to 2023 were collected,and the research method of retrospective analysis was used to analyse their use and medication law.Results From 2019 to 2023,the overall amount of use of TCM injections and the ratio of the amount of use of Western patent medicines showed a downward trend year by year;the amount of anti-neoplastic drugs TCM injections ranked in the first place although it decreased year by year,and the amount of use of enucleating agents and oncological auxiliary drugs TCM injections showed a downward trend;the changes in the consumption of TCM injections,the defined daily doses,and the defined daily cost fluctuated greatly,which was relevant to the medical insurance policy and the inclusion of the nationally negotiated medicines;both the infection of COVID-19 and medical policy played a great influence on the application of TCM injections.Conclusion The use of TCM injections is subject to changes in policy and the influence of social environment,and the supervision of the use of TCM injections should be strengthened to ensure the rational use of medication and medication safety for patients.