某医院中药饮片处方剂量调查
投稿时间:2014-11-08  修订日期:2015-03-12  点此下载全文
引用本文:刘朵,顾艳,金浩,徐敏,顾万翔,钱芳.某医院中药饮片处方剂量调查[J].药学实践杂志,2015,33(5):477~480
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作者单位E-mail
刘朵 上海市嘉定区中医医院药剂科, 上海 201800  
顾艳 上海市嘉定区中医医院药剂科, 上海 201800  
金浩 上海市嘉定区中医医院药剂科, 上海 201800  
徐敏 上海市嘉定区中医医院药剂科, 上海 201800  
顾万翔 上海市嘉定区中医医院药剂科, 上海 201800  
钱芳 上海市嘉定区中医医院药剂科, 上海 201800 qianfang@medmail.com.cn 
基金项目:上海市嘉定区科委卫生医疗类(2014-19)
中文摘要:目的 通过对上海市嘉定区中医医院中药饮片使用剂量进行调查统计,了解该院中药饮片处方剂量现状。 方法 抽取该院2013年度1 000张中药饮片处方,对中药饮片使用频率、超剂量药味数、有毒中药饮片超剂量使用等进行统计分析。 结果 单张处方总剂量大于300 g的处方占总处方数的59.6%。使用频率前10位的中药为甘草、黄芪、炒白术、茯苓、当归、丹参、炒白芍、薏苡仁、炒杜仲、陈皮,其中大部分中药饮片有不同程度的超剂量使用。有毒中药饮片也有超剂量使用现象。 结论 中药饮片处方超剂量使用问题突出,需改进中药饮片用药现状,确保处方合理,用药安全。
中文关键词:中药饮片  超剂量  使用频率  合理用药
 
Investigation on prescription dosage of TCM decoction pieces
Abstract:Objective To find out the status of the prescription dosage of TCM decoction pieces in Jiading Hospital of Traditional Chinese Medicine(TCM). Methods 1 000 prescriptions in 2013 were extracted, frequency, number of drug overdosed, dosage of poisonous TCM decoction pieces were analyzed. Results The total dose more than 300 grams of prescriptions accounted for 59.6%. The top 10 utility frequency of medicine were Glycyrrhizae radix et rhizoma, Astragali radix, Atractylodis macrocephalae rhizoma, Poria, Angelicae sinensis radix, Salviae miltiorrhizae radix et rhizoma, Paeoniae radix alba, Coicis semen, Eucommiae cortex, Citri Reticulatae pericarpium, which had varying degrees of overdose. Poisonous TCM decoction pieces was also overdosed. Conclusion The issues of Chinese herbal medicine prescription was serious, which need to be improved to ensure rational prescription drug safety.
keywords:TCM decoction pieces  over dosage  frequency  rational drug use
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