1352份精神专科医院住院患者中药饮片医嘱用药分析

摘要

OBJECTIVE:To investigate the application and its rationality of traditional Chinese medicine decoction pieces among inpatients in the psychiatric hospital of Xiamen Xianyue Hospital ( hereinafter referred to as "our hospital") , so as to provide references for clinical rational medication .METHODS:The application of TCM decoction pieces in 1352 inpatient prescriptions of our hospital in 2016 were retrospectively collected and analyzed with the combination of patients ' general information and clinical diagnoses .RESULTS: Among the 1352 patients with the application of TCM decoction pieces , 788 cases were male , the other 564 were female; mostly were aged 30-<60;mostly with depression , schizophrenia or bipolar disorder .The top 5 TCM decoction pieces ranked in using frequency were respectively radix glycyrrhizae , fructus auranii immaturus , Chinese thorowax root , atractylodes macrocephala koidz and poria cocos; mainly were drug for reinforcing energy and blood , regulating energy , smoothing liver and resolving depression , which were basically conformed to the principles and methods of treating depression , anxiety disorder, insomnia and schizophrenia in traditional Chinese medicine .CONCLUSIONS: The application of TCM decoction pieces on inpatients in our hospital is basically rational . TCM decoction piece has the features of hypotoxicity , little adverse drug reactions , protect target organs and multi-path, which can provide new direction for treating mental diseases .%目的:了解精神专科医院厦门市仙岳医院(以下简称"我院")住院患者中药饮片的使用情况及其合理性,为临床合理用药提供参考.方法:结合患者的基本信息、临床诊断等,对2016年我院1352份住院患者中药饮片医嘱用药情况进行回顾性统计分析.结果:1352例使用中药饮片的患者中,男性788例,女性564例,男性多于女性;30～<60岁者居多;抑郁症、精神分裂症和双相障碍者居多.使用频率排序居前5位的中药饮片依次为甘草、枳实、柴胡、白术和茯苓;以补气血药、理气药和舒肝解郁药为主,基本符合中医治疗抑郁症、焦虑症、失眠症及精神分裂症的原则与方法.结论:我院住院患者中药饮片的使用基本合理.中药饮片具有低毒性、不良反应小、保护靶器官及多途径等特点,可为精神疾病的药物治疗提供新的方向.