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[摘要]
目的 分析2012-2016年西安市第一醫(yī)院中藥注射劑的使用情況,為醫(yī)院管理該類藥品和臨床合理用藥提供參考。方法 收集西安市第一醫(yī)院2012-2016年中藥注射劑的相關(guān)數(shù)據(jù),對(duì)品種、銷售金額、用藥頻度(DDDs)、限定日費(fèi)用(DDC)和藥物利用指數(shù)(DUI)進(jìn)行統(tǒng)計(jì)分析。結(jié)果 中藥注射劑銷售金額整體呈逐年上升的趨勢(shì),2014年增幅最大?;钛鲱愔兴幾⑸鋭┑氖褂媒痤~和DDDs均居首位;抗癌類有上升趨勢(shì),但增幅較小,品種數(shù)和銷售金額相對(duì)穩(wěn)定;補(bǔ)益類5年來銷售金額呈逐年增加的趨勢(shì);清熱類銷售金額和占比均較低。注射用丹參多酚酸鹽100 mg有3年銷售金額均居于首位,一直位于前10的品種有丹紅注射液、疏血通注射液和注射用血栓通。注射用血栓通150 mg、注射用丹參多酚酸鹽100 mg、大株紅景天注射液和注射用益氣復(fù)脈的DDDs呈逐年增加的趨勢(shì);注射用益氣復(fù)脈的DDC值最高,為374元,注射用血塞通的DDC最低,為49元。中藥注射劑單品種的DUI接近1的品種少。結(jié)論 西安市第一醫(yī)院2012-2016年中藥注射劑的使用越來越廣泛,用藥基本合理,但應(yīng)在以后的臨床使用中嚴(yán)格辨證施治,以降低中藥注射劑的不良反應(yīng),共同促進(jìn)合理用藥。
[Key word]
[Abstract]
Objective To analyze the utilization of traditional Chinese medicine (TCM) injection in Xi'an No. 1 Hospital from 2012 to 2016, so as to provide references for clinical rational use of drugs in hospital management. Methods The data of TCM injection in Xi'an No. 1 Hospital from 2012 to 2016 was collected, and drug category, consumption sums, average daily cost (DDC), defined daily dose system (DDDs), and drug utilization index (DUI) were analyzed statistically. Results Consumption sum of TCM injection increased year by year with the largest increase in 2014. Consumption sum and DDDs of blood-quickening and stasis-dispelling TCM injection were in the first place. The anti-tumor TCM injection had an upward trend with a smaller increase, and the number of varieties and consumption sum were relatively stable. Consumption sum of tonic TCM injection had a trend of increasing year by year during five years. Consumption sum and proportion of TCM injection for relieving heat was lower. Consumption sum of Salvianolate for injection (100 mg) ranked the top in three years. Consumption sum of Danhong Injection, Shuxuetong Injection, and Xueshuantong for injection ranked the top 10. DDDs of Xueshuantong for injection (150 mg), Salvianolate for injection (100 mg), Sofren Injection, and Yiqi Fumai for injection increased year by year. DDC of Yiqi Fumai for injection was the highest with 374. DDC of Xuesaitong for injection was the lowest with 49. Three were less special TCM injection with DUI near to 1. Conclusion TCM injection is widely used in Xi'an No. 1 Hospital from 2012 to 2016, and the utilization is basically reasonable, but the clinical application should be strictly diagnosed and treatment based on an overall analysis of the illness and the patient's condition, in order to reduce the adverse reaction, and promote rational use of drugs.
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