今日药学

2019, v.29(02) 127-129+140

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某三甲中医院门诊中药配方颗粒的处方分析
Prescription Analysis of Traditional Chinese Medicine Dispensing Granules in Outpatient Clinic in a Top 3 Hospital

李建瑜;郭文清;邓志军;刘若轩;李阿荣;吴智松;李丽明;
LI Jianyu;Guo Wenqing;Deng Zhijun;LIU Ruoxuan;LI Arong;WU Zhisong;LI Liming;Dongguan Hospital of Traditional Chinese Medicine;Guangzhou Hospital of Traditional Chinese Medicine;

摘要(Abstract):

目的回顾分析2013~2017年门诊中药配方颗粒处方使用情况,了解其用药结构及合理性,规范中药配方颗粒使用。方法通过医院信息管理系统调取2012~2016年中药配方颗粒处方相关信息,采用Excel 2010统计分析科室、人群的分布、单味中药配方颗粒使用情况,采用SPSS13.0统计分析比较中药配方颗粒与饮片价格。结果门诊中药配方颗粒处方数量逐年递增,其中以中青年患者所占比例较高;脾胃、皮肤和内分泌科等中医传统科室使用中药配方颗粒居多,茯苓、黄芪、白术、党参等健脾化湿药用量最大;从价格来看,配方颗粒总体价格高于中药饮片,均价是饮片的1.39倍。结论中药配方颗粒使用方便,在临床的应用日益广泛,但也存在等效性和价格等突出问题,应对此进行深入研究。
OBJECTIVE To analyze the usage of traditional Chinese medicine dispensing granules in outpatient prescriptions in2013 ~ 2017,and understand the structure and rationality,so as to standardize the use of dispensing granules. METHODS The prescription information of traditional Chinese medicine dispensing granules in 2012 ~ 2016 was collected by hospital information system( HIS),the distribution of department and crowd,the use of single traditional Chinese medicine formula was analyzed with Excel 2010,and the price of Chinese herbal medicine dispensing granules and pieces was compared by SPSS13.0 statistical analysis. RESULTS The number of traditional Chinese medicine dispensing granules prescriptions was increased year by year,showing that demand was increased year by year. Young and middle-aged patients accounted for a higher proportion. Chinese medicine formula granules were commonly used in spleen and stomach,skin and endocrinology departments and other traditional Chinese medicine departments. Spleenstrengthening and dampness-removing drugs such as Poria cocos,Astragalus membranaceus,Atractylodes macrocephala macrocephala,and Codonopsis pilosula are used largely. From the price point of view,the overall price of formula granules was higher than traditional Chinese medicine slices. CONCLUSION Traditional Chinese medicine formula granules are widely used in clinic because of its convenience in use,but there are still some outstanding problems such as equivalence and price,which should be further studied.

关键词(KeyWords): 门诊;中药配方颗粒;处方分析;药物经济学
outpatient;dispensing granule of Chinese medicine;prescription analysis;pharmacoeconomics

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基金项目(Foundation): 广州市中医药和中西医结合科技项目(20162A010003);; 广东省卫生经济学会科研项目(2015-12-02)

作者(Author): 李建瑜;郭文清;邓志军;刘若轩;李阿荣;吴智松;李丽明;
LI Jianyu;Guo Wenqing;Deng Zhijun;LIU Ruoxuan;LI Arong;WU Zhisong;LI Liming;Dongguan Hospital of Traditional Chinese Medicine;Guangzhou Hospital of Traditional Chinese Medicine;

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