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我院2013~2015年门诊中药饮片与中药免煎颗粒使用分析
Analysis of the Usage of Traditional Chinese Medicine Decoction Pieces and Boil free Granule in Our Hospital from 2013 to 2015
  
DOI:
中文关键词:  中药饮片  中药免煎颗粒  门诊  用药频度  限定日费用  药物利用
英文关键词:Traditional Chinese medicine decoction pieces  Boil free granule of Traditional Chinese medicine  Outpatient  DDDs  DDC  Drug utilization
基金项目:
作者单位
范秀荣宋学伟刘颖吕志辉 ①北京中医药大学东直门医院东区药学部(北京 101100) 
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中文摘要:
      摘 要 目的:了解某中医院2013~2015年门诊中药饮片及免煎颗粒的使用情况,为该类药物科学采购及临床合理使用提供参考。方法:调取该院门诊中药房2013~2015年使用的中药品种、数量、金额等数据,对用药频度(DDDs)、限定日费用(DDC)等进行统计分析。结果:中药饮片使用量及金额呈下降趋势,年销售品种金额排序连续3年均列前5位的是黄芪、茯苓、丹参、当归、白芍,DDDs排序列前5位为茯苓、当归、黄芩、丹参、黄芪。中药免煎颗粒使用量及金额均呈上升趋势。年销售金额排序连续3年均列前5位的是黄芪、茯苓、白芍、当归、丹参,DDDs排序前5位为当归、茯苓、黄芩、白芍、白术。结论:该院门诊中药饮片和中药免煎颗粒使用前10名的品种相对稳定,免煎颗粒使用量及DDDs远超过中药饮片。用药品种均为常见品,无明显使用异常,但医师用药存在趋向性。
英文摘要:
      ABSTRACT Objective:To know the usage of Chinese herbaldecoction pieces and boil free granule in the out patient department of our hospital from 2013 to 2015, and to provide reference for the scientific purchase and clinical rational use of this kind of medicine. Methods:The variety, quantity, amount, defined daily dose system (DDDs) and defined daily cost (DDC) of Chinese medicine used in the TCM pharmacy of our hospital during the period from 2013 to 2015 were analyzed statistically. Results:The quantity and amount of Chinese medicine decoction pieces have been declining. Astragalus, Poria, Salvia miltiorrhiza, Angelica sinensis, Radix Paeoniae Alba ranked top 5 of the annual sales amount for three consecutive years. Poria, Angelica sinensis, Scutellaria Baicalensis, Salvia miltiorrhiza, Astragalus ranked top 5 of DDDs series. The quantity and amount of the boil free granule of traditional Chinese medicine showed a strong upward trend. Astragalus, Poria, Radix Paeoniae Alba, Angelica sinensis, Salvia miltiorrhiza ranked top 5 of the annual sales amount for three consecutive years. Angelica sinensis, Poria, Scutellaria Baicalensis, Radix Paeoniae Alba, Atractylodes ranked top 5 for DDDs.Conclusion:The quantity of the top 10 variety of Chinese medicine decoction pieces and boil free granule was relatively stable in our hospital. The amount and DDDs of boil free granule of Chinese medicine usage was far more than decoction pieces. The drugs used were common varieties. There was no obvious irrational use, but the result showed Physicians’ tendency existed.
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