92402张儿科门诊处方用药分析
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摘要
目的:了解北京市中西医结合医院(以下简称"我院")儿科门诊处方用药情况,探讨儿科疾病及其用药特点,促进临床合理用药。方法:抽取2018年我院全部儿科门诊处方,对处方用药情况进行统计分析。结果:共抽取儿科门诊处方92 402张,涉及患儿23 101例,其中,0～3岁患儿占34.88%(8 058例),>3～6岁患儿占32.49%(7 505例),>6～12岁患儿占28.48%(6 580例),三者合计占95.85%;儿科常见疾病诊断以呼吸系统疾病为主;76.46%(17 662例)的患儿使用了西药;联合用药方面,58.7%(13 560例)的患儿联合应用了西药和中药(包括中成药、中药饮片及中药配方颗粒),主要涉及西药与中成药的联合应用(10 647例,占46.09%);单纯使用西药的患儿占17.76%(4 102例),单纯使用中药的患儿占22.72%(5 248例);中药饮片的使用率与中药配方颗粒基本一致,中药配方颗粒中使用频率最高的为理气消食药,多为内服,中药饮片中使用频率最高的为清热解毒燥湿药,多为外用。儿科西药、中成药、中药饮片及中药配方颗粒中使用较多的药物品种与病例数排序居前列的疾病诊断相对应。结论:我院儿科门诊处方用药基本合理,体现了中西医结合治疗的特色。
OBJECTIVE: To investigate the drug use of pediatric outpatient prescriptions in Beijing Hospital of Integrated Traditional Chinese and Western Medicine(hereinafter referred to as "our hospital"), and to probe into the characteristics of pediatric diseases and the drug use, so as to promote the clinical rational drug use. METHODS: All pediatric outpatient prescriptions of our hospital in 2018 were extracted, and statistical analysis was conducted on drug use of pediatric outpatient prescriptions. RESULTS: A total of 92 402 prescriptions for pediatric outpatients were collected, including 23 101 children, of which 34.88%(8 058 cases) were children aged 0-3 years old, 32.49%(7 505 cases) were children aged >3-6 years old, and 28.48%(6 580 cases) were children aged >6-12 years old, the total of the three accounted for 95.85%. Diagnosis of common diseases in pediatrics was mainly caused by respiratory diseases. 76.46%(17 662 cases) of the children received western medicine. In terms of combined drug use, 58.7%(13 560 cases) of the children were treated with western medicine and traditional Chinese medicine(including Chinese patent medicine, traditional Chinese Medicine decoction pieces and traditional Chinese medicine formula), mainly involving the combined use of western medicine and Chinese patent medicine(10 647 cases, 46.09%). Children who used western medicine alone accounted for 17.76%(4 102 cases), and those who used traditional Chinese medicine alone accounted for 22.72%(5 248 cases). The use rate of traditional Chinese medicine decoction pieces was basically the same as that of traditional Chinese medicine formula. The most frequently used traditional Chinese medicine formula was the digestive drugs, mostly for internal administration. The most frequently used traditional Chinese Medicine decoction pieces were antipyretic and detoxification dry medicine, mostly for external use. The types of drugs commonly used in pediatric western medicine, Chinese patent medicine, traditional Chinese Medicine decoction pieces and traditional Chinese medicine formula are correspond to the disease diagnosis with the highest number of cases. CONCLUSIONS: The prescriptions for pediatric outpatients in our hospital are basically reasonable, which reflects the characteristics of integrated Chinese and western medicine treatment.
OBJECTIVE: To investigate the drug use of pediatric outpatient prescriptions in Beijing Hospital of Integrated Traditional Chinese and Western Medicine(hereinafter referred to as "our hospital"), and to probe into the characteristics of pediatric diseases and the drug use, so as to promote the clinical rational drug use. METHODS: All pediatric outpatient prescriptions of our hospital in 2018 were extracted, and statistical analysis was conducted on drug use of pediatric outpatient prescriptions. RESULTS: A total of 92 402 prescriptions for pediatric outpatients were collected, including 23 101 children, of which 34.88%(8 058 cases) were children aged 0-3 years old, 32.49%(7 505 cases) were children aged >3-6 years old, and 28.48%(6 580 cases) were children aged >6-12 years old, the total of the three accounted for 95.85%. Diagnosis of common diseases in pediatrics was mainly caused by respiratory diseases. 76.46%(17 662 cases) of the children received western medicine. In terms of combined drug use, 58.7%(13 560 cases) of the children were treated with western medicine and traditional Chinese medicine(including Chinese patent medicine, traditional Chinese Medicine decoction pieces and traditional Chinese medicine formula), mainly involving the combined use of western medicine and Chinese patent medicine(10 647 cases, 46.09%). Children who used western medicine alone accounted for 17.76%(4 102 cases), and those who used traditional Chinese medicine alone accounted for 22.72%(5 248 cases). The use rate of traditional Chinese medicine decoction pieces was basically the same as that of traditional Chinese medicine formula. The most frequently used traditional Chinese medicine formula was the digestive drugs, mostly for internal administration. The most frequently used traditional Chinese Medicine decoction pieces were antipyretic and detoxification dry medicine, mostly for external use. The types of drugs commonly used in pediatric western medicine, Chinese patent medicine, traditional Chinese Medicine decoction pieces and traditional Chinese medicine formula are correspond to the disease diagnosis with the highest number of cases. CONCLUSIONS: The prescriptions for pediatric outpatients in our hospital are basically reasonable, which reflects the characteristics of integrated Chinese and western medicine treatment.
引文
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[7] 卢克鹏,林立敏,刘倩,等.大环内酯类药物治疗下呼吸道感染药动与药效学研究[J].人民军医,2015,58(1):102-104.
[8] 姚冰,潘洁,王远光,等.儿科用药现状与分析[J].中国医院用药评价与分析,2011,11(1):41-44.
[9] 赵宇燕.儿童医院中西药联合应用的现状[J].光明中医,2014,29(2):408-415.
[10] 石敏娟,杨莲芳,刘军峰,等.某中医院2013年儿科门诊处方调查与用药分析[J].中国药业,2016,25(3):82-84.
[11] 房明东,常克,陈炜,等.川派中医儿科代表人物及学术特点概述[J].中医杂志,2015,56(19):1630-1634.
[12] 张智华,杨丹.西药联合中药熏蒸治疗强直性脊柱炎的临床疗效及护理[J].贵阳中医学院学报,2010,32(2):79-81.
[13] Vallejos X,Benavides S.The Patient Protection and Affordable Care Act:implications for pediatric pharmacy practice[J].Ann Phar-macother,2013,47(7-8):1075-1078.
[2] 曾涌.医院门诊儿科处方用药情况的调查分析[J].中国保健营养:上旬刊,2014,24(7):4392.
[3] 周小建,施益农,徐虹.2013年我院儿科门诊中草药处方用药情况调查[J].临床合理用药杂志,2015,8(8):1-2.
[4] 冯秋荣,李必坚,刘静.儿科超说明书用药影响因素探讨[J].中南药学,2013,11(11):860-862.
[5] 李延德.儿科合理用药探析[J].临床合理用药杂志,2013,6(32):72-73.
[6] 徐丽君,贺爽.我院2013—2014年儿科患者用药分析[J].中国药房,2016,27(2):173-176.
[7] 卢克鹏,林立敏,刘倩,等.大环内酯类药物治疗下呼吸道感染药动与药效学研究[J].人民军医,2015,58(1):102-104.
[8] 姚冰,潘洁,王远光,等.儿科用药现状与分析[J].中国医院用药评价与分析,2011,11(1):41-44.
[9] 赵宇燕.儿童医院中西药联合应用的现状[J].光明中医,2014,29(2):408-415.
[10] 石敏娟,杨莲芳,刘军峰,等.某中医院2013年儿科门诊处方调查与用药分析[J].中国药业,2016,25(3):82-84.
[11] 房明东,常克,陈炜,等.川派中医儿科代表人物及学术特点概述[J].中医杂志,2015,56(19):1630-1634.
[12] 张智华,杨丹.西药联合中药熏蒸治疗强直性脊柱炎的临床疗效及护理[J].贵阳中医学院学报,2010,32(2):79-81.
[13] Vallejos X,Benavides S.The Patient Protection and Affordable Care Act:implications for pediatric pharmacy practice[J].Ann Phar-macother,2013,47(7-8):1075-1078.