海南医学院附属医院2010－2012年中药注射剂用药分析

摘要

Objective To probe into the application feature and use tendency of traditional Chinese medicine (TCM) injections in our hospital;To evaluate rational drug use and provide reference for related researches. Methods TCM injections in our hospital during 2010-2012 were analyzed by employing the analytic method of defined daily dose, with a purpose to evaluate frequency of drug use and rationality of medication expenses. Results From 2010 to 2012, drug possession rate of TCM injections in our hospital was 4.07%-4.47%;the amount of medication accounted for 10.50%to 12.69%of the amount of all drugs;the annual growth rate increased significantly, among which TCM injections used for removing blood stasis took the lead;frequency of drug use rose annually;medication synchrony in 3 years indicated that daily expensesof Shenkang Injection, Aidi Injection, salvianolateinjection, safflor yellow sodium chloride injection and other TCM injections were on the high side. Conclusion From 2010 to 2012, TCM injections in the clinical application in our hospital were of relatively high frequency, and the TCM injections used for removing blood stasis took the lead. Daily expenses of TCM injections drugs were on the high side and there may be unreasonable application.%目的：了解本院中药注射剂的应用特点和用药趋势，为评估本院中药注射剂合理应用情况和相关研究提供参考。方法以用药频度分析方法评估本院2010－2012年中药注射剂用药水平，评价药物使用频度与用药费用合理性。结果2010－2012年，本院中药注射剂药品占有率为4.07%～4.47%，用药金额占全院所有药品用药金额的10.50%～12.69%，年增长幅度明显。其中活血类中药注射剂应用比例列居首位，用药频度呈年度上升趋势；3年的用药同步性表明，肾康注射液、艾迪注射液、丹参多酚酸盐粉针、红花黄色素氯化钠注射液等中药注射剂用药日均费用偏高。结论2010－2012年，本院中药注射剂临床应用相对频繁，且多倾向于活血类中药注射剂的应用；用药日均费用偏高的中药注射剂可能存在不合理应用情况。