李　勇(开封市中心医院药学科，河南 开封　475000)



开封市中心医院住院患者中药注射剂应用合理性分析

李勇*(开封市中心医院药学科，河南 开封475000)

DOI10.14009/j.issn.1672-2124.2016.03.036

摘要目的：调查开封市中心医院(以下简称“我院”)中药注射剂的使用情况，提醒临床医师合理使用中药注射剂并呼吁相关方加强中药注射剂管理。方法：对我院2013—2014年住院患者使用中药注射剂的使用品种、销售金额、不合理用药案例等数据进行统计分析。结果：住院患者中使用中药注射剂进行治疗的比率约为53.56%(26 027/48 592)，不合理使用比率为22.26%(5 793/26 027)，中药注射剂不合理使用适应证、联合用药、用法与用量不合理比率分别是59.00%、26.38%和5.68%。结论：我院应加强对中药注射剂使用的管理，针对不合理用药应采取干预措施，使临床用药更加规范。

关键词中药注射剂； 住院患者； 合理使用

Analysis on Application Rationality of Traditional Chinese Medicine Injections in Inpatients of Kaifeng Central Hospital

LI Yong(Dept.of Pharmacy, Kaifeng Central Hospital, Henan Kaifeng 475000, China)

ABSTRACTOBJECTIVE：To investigate the application of traditional Chinese medicine injections in inpatients of Kaifeng Central Hospital(hereinafter referred to as “our hospital”), so as to remind the rational application of traditional Chinese medicine injections in clinists and appeal to the related department to strengthen the management of traditional Chinese medicine injections. METHODS: Statistical analysis was conducted on the data of traditional Chinese medicine injections in terms of the categories, consumption sum and cases of irrational drug use in inpatients during 2013-2014. RESULTS: Of the inpatients, the ratio of treatment with traditional Chinese medicine injections was 53.56%(26 027/48 592), the ratio of irrational drug use was 22.26%(5 793/26 027); and the ratio of no indications，uncongenial drug combination and irrational usage and dosage were respectively 59.00%, 26.38% and 5.68%．CONCLUSIONS: The management of traditional Chinese medicine injections should be strengthened, and intervention are suppose to adopted to deal with the irrational drug use problems, so as to regulate the clinical medication.

KEYWORDSTraditional Chinese medicine injections; Inpatients; Rational drug use

中药注射剂是中药材经提取、纯化后，采用现代科学技术和方法制成的供注入体内的溶液及供临床使用配制成溶液的无菌制剂，中药注射剂是我国中医药知识继承和发展的产物。为了解中药注射剂在临床药物治疗中的应用现状及合理性，现对开封市中心医院(以下简称“我院”)2013—2014年住院患者的中药注射剂应用情况进行分析，探讨出现不合理应用的原因，以促进临床合理用药。

1资料与方法

1.1资料来源

本以促进临床合理用药调查资料来自我院2013—2014年住院患者的用药记录，其中具有国药准字Z的中药注射剂26个品种，35个规格，本调查不包括长春西汀、银杏达莫等国药准字H注射剂。……