合理用药干预前后活血化瘀类中药注射剂应用合理性分析及干预效果探讨

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英文篇名：Analysis of Application Rationality of Traditional Chinese Medicine Injection for Promoting Blood Circulation and Removing Blood Stasis Before and After Intervention and Discussion of Intervention Effects 作者：杨椰 ; 黄必德 英文作者：YANG Ye;HUANG Bide;Dept.of Pharmacy, Hechi Traditional Chinese Medicine Hospital; 关键词：临床药师 ; 活血化瘀 ; 中药注射剂 ; 临床干预 英文关键词：Clinical Pharmacists;;Promoting blood circulation and removing blood stasis;;Traditional Chinese medicine injection;;Clinical intervention 中文刊名：YYPF 英文刊名：Evaluation and Analysis of Drug-Use in Hospitals of China 机构：河池市中医医院药剂科; 出版日期：2019-03-30 出版单位：中国医院用药评价与分析 年：2019 期：v.19;No.177 语种：中文; 页：YYPF201903046 页数：3 CN：03 ISSN：11-4975/R 分类号：122-123+126

摘要

目的:了解合理用药干预前后河池市中医医院(以下简称"我院")活血化瘀类中药注射剂的应用情况,探讨干预效果。方法:采用随机方法,分别抽取我院2016年5—10月(干预前)合格病历500份和2017年3—8月(干预后)合格病历500份,比较干预前后活血化瘀类中药注射剂的合理应用情况,评价临床药师的干预效果。结果:干预后,活血化瘀类中药注射剂超适应证、单次用量过大、配伍不当及超疗程使用等各项不合理用药发生率均明显低于干预前,差异均有统计学意义(P<0.05)。结论:医院对活血化瘀类中药注射剂临床应用的干预效果显著,切实保障了用药合理性。
        OBJECTIVE: To investigate the application status of traditional Chinese medicine injection for promoting blood circulation and removing blood stasis before and after intervention in Hechi Traditional Chinese Medicine Hospital(hereinafter referred to as "our hospital"), and to probe into the intervention effects. METHODS: Totally 500 qualified medical records of our hospital from May to Oct. 2016(before intervention) and from Mar. to Aug. 2017(after intervention) were selected by the random method. The application rationality of traditional Chinese medicine injection for promoting blood circulation and removing blood stasis before and after intervention was compared, and the intervention effects were evaluated. RESULTS: After intervention, the incidence of irrational application of traditional Chinese medicine injection for promoting blood circulation and removing blood stasis such as off-label drug use, too large single-use, improper compatibility and over treatment courses were significantly lower than those before intervention(P<0.05). CONCLUSIONS: The intervention on application of traditional Chinese medicine injection for promoting blood circulation and removing blood stasis by our hospital is significant, which is helpful for ensuring the rationality of drug application.

引文

[1] 邵华,刘乃丰,徐厚明,等.活血化瘀中药注射剂临床应用的调查及干预[J].中国新药与临床杂志,2010,29(4):315-318.
    [2] 中国高血压防治指南修订委员会.中国高血压防治指南2010[J].中华心血管病杂志,2011,39(7):579-616.
    [3] 陈锐亮.氨氯地平联用美托洛尔治疗原发性高血压疗效观察[J].中国现代药物应用,2009,3(12):141-142.
    [4] 张华.门诊处方使用口服活血化瘀类中成药调查分析[J].临床医药文献电子杂志,2016,3(2):290-291.
    [5] 杜改云,郭建广.老年冠心病合理选用活血化瘀类中成药的效果分析[J].中国医药指南,2015,13(12):182.
    [6] 周永梅,房德敏,高颖,等.医院中成药处方合理性评价标准的探讨[J].中国医院药学杂志,2012,32(4):307-309.
    [7] 刘彩云.我院中成药用药合理性情况分析[J].中国美容医学,2012,21(18):206-207.
    [8] 史红卫,吴克勤.2011—2013年我院三类中成药应用情况分析[J].医学信息,2014,27(21):86-87.
    [9] 朱定全,陈立星.对某医院应用活血化瘀类中成药的现状调查[J].当代医药论丛,2016,14(22):127-129.
    [10] 赵梁艳,刘梅,廖俊辉,等.临床药师干预对某院中药注射剂使用的影响[J].今日药学,2012,22(1):32-34.
    [11] 王新晓.本院2011—2013年活血化瘀类中成药的应用调查[J].当代医学,2015,21(23):140-141.
    [12] 任长友.中药注射剂的合理应用[J].中国农村卫生事业管理,2008(7):559.
    [13] 苏新民.中药注射剂致过敏反应初探[J].医学信息,2010,23(4):21-22.
    [14] 覃素习.活血化瘀类中成药临床使用的合理性分析[J].临床合理用药杂志,2015,8(27):31,38.