医疗机构拳参、南沙参饮片质量现状及改进措施思考

Quality Status and Improvement Measures of Decoction Pieces of Bistortae Rhizoma and Adenophprae Ae Radix in Medical Institutions

目的:基于拳参、南沙参饮片质量的评定结果,探究与思考医疗机构中药饮片质量现状、问题及改进措施,以期为医疗机构中药饮片质量的提升提供参考。方法:对于拳参、南沙参饮片,采取医疗机构现场抽样、专家盲法点评打分、统计分析等方法。结果:从79家医疗机构抽取到拳参样品49份,南沙参样品50份,医疗机构使用率为62.03%、63.29%。拳参样本中,质量评价“较好”24份,占48.98%;“中等”4份,占8.16%;“一般”21份,占42.86%。南沙参样品中,质量评价“较好”11份,占22.00%;“中等”33份,占66.00%;“一般”6份,占12.00%。结论:医疗机构饮片质量有待提升,通过性状鉴别发现两种饮片可能存在品种混淆情况,医疗机构应重视中药饮片质量评价与管理工作,提升中药人员鉴定能力,积极了解行业发展方向。国家层面应加强标准、体系及监管的建设与力度。

OBJECTIVE:To explore the status,problems and improvement measures of quality of traditional Chinese medicine decoction pieces in medical institutions based on quality assessment of decoction pieces of Bistortae Rhizoma and Adenophprae Ae Radix,so as to provide reference for the quality improvement of traditional Chinese medicine decoction pieces in medical institutions.METHODS:Based on on-site sampling,scoring by expert blind review and statistical analysis,decoction pieces of Bistortae Rhizoma and Adenophprae Ae Radix were analyzed.RESULTS:Totally 49 samples of Bistortae Rhizoma and 50 samples of Adenophprae Ae Radix were drawn from 79 medical institutions,and the utilization rates of medical institutions were 62.03%and 63.29%,respectively.Among the samples of Bistortae Rhizoma,24 samples were rated as“good”(48.98%),4 samples were“medium”(8.16%),and 21 samples were“general”(42.86%).Of the samples of Adenophprae Ae Radix,11 samples were rated as“good”(22.00%),33 samples were“medium”(66.00%)and 6 samples were“general”(12.00%).CONCLUSIONS:The quality of decoction pieces in medical institutions needs to be improved.The two kinds of decoction pieces have species confusion.Medical institutions should pay attention to the quality evaluation and management of traditional Chinese medicine decoction pieces,improve the identification ability of traditional Chinese medicine personnel,and actively understand the development direction.At the national level,the construction and intensity of standards,systems and supervision should be strengthened.