目的：探讨某院门诊中成药的使用情况，为合理用药提供参考。方法：采用回顾性分析，利用限定日剂量（ DDD）分析、用药频度（ DDDs）分析、趋势分析法，对2010—2013年某院门诊48000张中成药处方的用药情况进行统计、分析。结果：该院中成药目录结构不合理，品规数过多；中成药销售金额占药品销售总金额比例较高，且年度上升趋势过快，高于该院同期药品销售金额和其他收入的上升趋势；DDDs的年增长幅度高于该院药品销售金额的年增长幅度；平均DDC略高，为6�36元；4年来，其B／A平均分别为2�2、2�3、2�3、2�4；药品使用集中于祛瘀剂、扶正剂类等。结论：应警惕中成药的过度使用，加强监控，以促进临床合理用药。%OBJECTIVE:To analyze the utilization of Chinese patent medicine in one hospital in order to provide reference for rational use Chinese patent medicine. METHODS: Retrospective, the 48 000 prescription of Chinese medicine prescription during 2010⁃2013 were counted and analysed with DDD, DDDs and trend analysis method. RESULTS:The hospital of Chinese patent medicine directory structure was not reasonable,and the number of drugs was too much;the amount of sales accounted of Chinese patent medicine for a higher proportion of the total amount of drug sales,the annual growth rate too fast,it was higher than the amount of the upward trend over the same period the hospital drug sales and other income;DDDs annual growth rate was higher than the annual growth rate of hospital drug sales amount;the average DDC was 6�36 yuan,and slightly higher;In the 4 years of B/A were 2�2, 2�3, 2�3, 2�4;the use of drugs were concentrated in stasis agent, fuzheng agent , and so on. CONCLUSIONS:Excessive use of Chinese patent medicines should be vigilant,strengthen the drug monitoring and to promote rational clinical use of drugs.
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