首页> 中文期刊> 《中国医院用药评价与分析》 >武汉科技大学附属天佑医院儿科中药制剂应用合理性分析

武汉科技大学附属天佑医院儿科中药制剂应用合理性分析

         

摘要

OBJECTIVE:To investigate the application status of Traditional Chinese Medicines ( TCM) preparations in paediatrics of Tianyou Hospital Affiliated to Wuhan University of Science and Technology ( hereinafter referred to as “our hospital”) , so as to promote the rational application of TCM preparations in paediatrics .METHODS: Application rationality of drugs was statistically analyzed through categories of TCM , consumption sum , defined daily dose system ( DDDs) , daily drug cost ( DDC) and ranking ratio .RESULTS:During 2013-2015, the categories of TCM preparations in paediatrics were respectively 8, 10 and 13.The consumption sum of TCM preparations were in a increasing trend , increased from 6.42% ( 2.321 2 million yuan/36.153 5 million yuan ) in 2013 to 10.09%( 4.552 6 million yuan/45.126 3 million yuan ) in 2015.During 2013-2014, the top 2 drugs ranked by consumption sum were respectively Tanreqing injections and Jinyebaidu granules , and in 2015 were respectively Jinyebaidu granules and Feilike mixture . DDDs of Feilike mixture increased rapidly , which took the lead in 2015.DDC of Reduning injections was the highest in 2014 and 2015.The B/A of oral TCM preparations was lower than that of TCM injections , which indicated the synchronicity of oral TCM preparations was better .CONCLUSIONS:The application of TCM preparations in paediatrics of our hospital is basically rational , yet still needs the further strength on the supervision and management of drugs .%目的:了解武汉科技大学附属天佑医院(以下简称“我院”)中药制剂在儿科的应用现状,促进中药制剂在医院儿科的合理应用。方法:通过我院儿科2013—2015年中药制剂的品种、销售金额、用药频度( defined daily dose system ,DDDs)、限定日费用( daily drug cost,DDC)、排序比(B/A)进行统计,分析用药的合理性。结果:2013—2015年,儿科中药制剂的品种数分别为8、10、13种;销售金额占药品总销售金额的比例逐年增加,由2013年的6.42%(232.12万元/3615.35万元)增长至2015年的10.09%(455.26万元/4512.63万元)。2013—2014年,销售金额居前2位的分别为痰热清注射剂和金叶败毒颗粒;2015年居前2位的为金叶败毒颗粒和肺力咳合剂。肺力咳合剂的DDDs增长较快,2015年居首位。热毒宁注射剂的DDC在2014、2015年为最高。口服中药制剂的B/A较注射类低,表明口服中药制剂的同步性较好。结论:我院儿科中药制剂的使用基本合理,但应进一步加强用药的监督与管理。

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