| 罗守萍,赵豆豆,万小燕,李婷婷,彭芳.基于中药处方用药特点分析的社区医院中医药建设探讨[J].中国药事,2022,36(12):1443-1452 |
| 基于中药处方用药特点分析的社区医院中医药建设探讨 |
| Analysis on Traditional Chinese Medicine Construction in Community Hospitals Based on the Characteristics of Prescription of Traditional Chinese Medicine |
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| DOI：10.16153/j.1002-7777.2022.12.015 |
| 中文关键词: 社区医院 中药处方 中药饮片 中药配方颗粒 毒性中药 |
| 英文关键词: community hospital prescriptions of traditional Chinese medicine traditional Chinese medicine slices traditional Chinese medicine formula granules toxic traditional Chinese medicines |
| 基金项目:国家现代农业产业技术体系项目(编号 CARS-21) |
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| 中文摘要: |
| 目的：为社区医院中医药系统建设提供参考。方法：采用Excel 2010和R语言对成都市双流区某社区医院2020年1-12月的中药饮片和配方颗粒处方进行回顾性分析。结果：该社区医院中医科室在2020 年共诊疗患者3045人次，以0~18岁的婴幼儿和青少年为主(47.31%)；16.67%的中医医生接诊处方量占总中医处方量的83.54%，少数医生接诊量占比高，头部效应明显。处方中中药配方颗粒总体使用率为 43.51%，给婴幼儿开具的处方中使用率高达94.19%。配方颗粒组成的处方因药味和药量少，并未对患者造成经济负担。66.32%的毒性中药使用超过了2020年版《中华人民共和国药典》规定最大用量；不合理处方中66.03%未写特殊煎法，应引起重视。结论：中医药社区诊疗可通过加大中药配方颗粒的推广和普及，并建立有毒饮片使用规范等制度，同时提高软硬件条件，从而提升社区医院中医药服务水平。 |
| 英文摘要: |
| Objective: To provide some references for the construction of traditional Chinese medicine (TCM) system in community hospitals. Methods: The prescriptions of TCM decoction pieces and TCM formula granules from January to December in 2020 in the community hospital of Shuangliu district, Chengdu were retrospectively analyzed by Excel 2010 and R language. Results: In 2020, the TCM department of the community hospital treated a total of 3045 patients. Among them, most patients were infants and adolescents aged 0-18 years old, accounting for 47.31%. 16.67% of TCM doctors in the community received 83.54% of the total TCM prescriptions, which indicated that a few doctors received a high proportion and the head aggregation effect was obvious. The overall utilization rate of TCM formula granules in prescriptions account for 43.51%. The utilization rate rate of prescription for infants reached up to 94.19%. The prescription of formula granules brought no economic burden to patients, for these medicines have fewer medicinal materials and smaller dosages. 66.32% of toxic Chinese medicines used in the community hospital exceeded the maximum dosage prescribed by Chinese Pharmacopoeia (2020 Edition). 66.03% of unreasonable prescriptions didn't show special decocting methods, which should be paid more attention to. Conclusion: TCM services in community hospitals can improve their software and hardware conditions by increasing the promotion and popularization of TCM formula granules, establishing a reasonable system for the use of toxic TCM slices, thus the service of TCM in community hospitals would be improved eventually. |
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