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目的:调查医院中药饮片处方剂量,分析其合理性。方法:随机选择医院2015年1月~2015年12月门诊医师开具的中药饮片处方中的1500张,统计单张处方中中药饮片的总剂量、处方中使用频次前5位的中药饮片剂量、超剂量使用频次前10位的药物,分析中药饮片处方剂量情况。结果:单张中药饮片处方总剂量在300g以上占59.4%;1500张处方中,使用频率前5位中药饮片为甘草、党参、白术、茯苓、当归;1500张处方中,超剂量使用频率前10位的中药饮片为细辛、干姜、前胡、熟附子、红花、川芎、桂枝、法半夏、吴茱萸、当归。结论:中药饮片处方中存在比较严重的超剂量使用问题,需要对其进行规范,保证临床合理用药。
Objective: To investigate the prescription dose of Chinese herbal medicine in hospitals and analyze its rationality. Methods: 1 500 prescriptions of Chinese medicine prescriptions issued by outpatients from January 2015 to December 2015 were randomly selected. The total dosage of Chinese herbal medicine slices in the prescriptions of prescriptions, the dosage of the top 5 Chinese herbal medicine tablets in the prescription, Dosage of the top 10 frequency of drug use, analysis of prescription dose of Chinese medicine Pieces. Results: The total prescription dosage of single Chinese herbal medicine was above 300g, accounting for 59.4%. Among the 1,500 prescriptions, the top five Chinese herbal medicine slices were licorice root, Codonopsis, Atractylodes, Poria cocos and Angelica sinensis. Among the 1500 prescriptions, Bit of Chinese Herbal Pieces asarum, ginger, Peucedanum, cooked aconite, safflower, Chuanxiong, Guizhi, France Pinellia, Evodia, Angelica. Conclusion: There is a serious over-dosage problem in the prescription of Chinese Herbal Medicine, which needs to be regulated to ensure the clinical rational use of medicine.