Application Rationality of Traditional Chinese Medicine Injections in Our Hospital from the Perspective of Adjuvant Drug Management

MA Juanjuan; GAO Xu; SHI Jing; FAN Shunxin; CHEN Pinying; CHENG Jie; SUN Shijiang

doi:10.14009/j.issn.1672-2124.2022.06.025

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Application Rationality of Traditional Chinese Medicine Injections in Our Hospital from the Perspective of Adjuvant Drug Management

更新时间：2022-10-08

- Application Rationality of Traditional Chinese Medicine Injections in Our Hospital from the Perspective of Adjuvant Drug Management
- Vol. 22, Issue 6, Pages: 750-753(2022)
- 作者机构：
  
  1. 河北省中医院药学部河北省中药制剂产业技术研究院
  2. 河北省滦平县中医院药学部
- 作者简介：
- 基金信息：
- DOI：10.14009/j.issn.1672-2124.2022.06.025
  CLC： R288
- Published：2022，
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MA Juanjuan, GAO Xu, SHI Jing, et al. Application Rationality of Traditional Chinese Medicine Injections in Our Hospital from the Perspective of Adjuvant Drug Management. [J]. 22(6):750-753(2022)
DOI：

MA Juanjuan, GAO Xu, SHI Jing, et al. Application Rationality of Traditional Chinese Medicine Injections in Our Hospital from the Perspective of Adjuvant Drug Management. [J]. 22(6):750-753(2022) DOI： 10.14009/j.issn.1672-2124.2022.06.025.

摘要

目的：了解国家中医临床研究基地河北省中医院(以下简称“该院”)中药注射剂的临床使用情况，为促进中药注射剂的合理应用提供参考。方法：利用医院信息系统，抽查2019—2021年该院住院患者医嘱含中药注射剂的病历，每月随机抽取100份，共抽取病历3 600份，对该院34个品种41个品规的中药注射剂使用情况进行回顾性点评与分析。结果：3 600份住院病历中，合理使用中药注射剂的病历有2 406份，用药合理率为66.83%。不合理用药主要涉及活血化瘀类中药注射剂；不合理用药主要表现为适应证不适宜、超疗程用药、溶剂剂量不适宜、未冲管、中西药配伍不适宜、给药途径不适宜和遴选药物不适宜。结论：中药注射剂在该院的应用非常广泛，不合理用药现象也比较严重。将参照辅助用药管理经验，采取综合干预措施，逐步规范中药注射剂的临床应用，提高医疗服务质量，保证患者用药安全。

Abstract

OBJECTIVE: To investigate the clinical application status of traditional Chinese medicine（TCM） injections in National Clinical Research Base of Traditional Chinese Medicine

Hebei Provincial Hospital of Traditional Chinese Medicine（hereinafter referred to as “the hospital”）

so as to provide reference for promoting the rational application of TCM injections. METHODS: Hospital information system was used

the inpatient medical records containing TCM injections in the hospital from 2019 to 2021 were randomly selected

100 cases were randomly selected every month

a total of 3 600 cases were selected

and the application of TCM injections of 34 varieties and 41 specifications in the hospital was retrospectively reviewed and analyzed. RESULTS: Among 3 600 inpatient cases

2 406 cases were rational application of TCM injections

with the rational rate of 66.83%. Irrational drug application mainly included TCM injections for promoting blood circulation and removing blood stasis. The main manifestations of irrational drug application were improper indications

off-label course of treatment

improper solvent dose

unwashed tube

improper compatibility of TCM and western medicines

inappropriate route of administration and selection of drugs. CONCLUSIONS: TCM injections are widely used in the hospital

and the phenomenon of irrational drug application is also severe. With reference to the experience of adjuvant drug management

comprehensive intervention measures will be adopted to standardize the clinical application of TCM injections

improve the quality of medical services

and ensure the safety of patients’ medication.

关键词

中药注射剂处方点评合理用药国家中医临床研究基地

Keywords

Traditional Chinese medicine injectionsPrescription reviewRational drug applicationNational Clinical Research Base of Traditional Chinese Medicine

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