北京市天坛社区卫生服务中心2010—2015年口服心脑血管类中成药使用情况分析(1)
摘要：目的 了解和掌握北京市天坛社区卫生服务中心(以下简称“本中心”)2010-2015年口服心脑血管类中成药的用药情况。方法 利用本中心医院信息系统数据库，对2010-2015年口服心脑血管类中成药用药品种、用量、销售金额进行统计分析，并计算出各药的用药频度(DDDs)、限定日费用(DDC)和排序比值(B/A)。结果 2010-2015年口服心脑血管类中成药的用药品种占总用药品种的23.67%；销售金额平均年增长率为11.96%，占总金额的48.73%。6年内DDDs均呈上升趋势，其中复方丹参滴丸稳居第一。从DDC和B/A值可见，大部分口服心脑血管类中成药日用金额在10元以下，B/A≈1，说明此类药品同步性较好，药品使用频率高。2010-2015年本中心口服心脑血管类中成药占主导地位，这与就诊患者以中老年人居多有关。期间本中心药品频度变化不大，结构相对比较稳定。结论 本中心口服心脑血管类中成药用药情况基本合理，但还存在不合理用药问题，需要加强管理。
关键词：心脑血管；中成药；医院药学
DOI：10.3969/j.issn.1005-5304.2016.10.030
中图分类号：R288 文献标识码：A 文章编号：1005-5304(2016)10-0119-05
Abstract： Objective To investigate the usage of oral cardio-cerebrovascular Chinese patent medicine in Tiantan Community Health Service Center of Beijing (hereinafter referred to as “the centre”) during 2010-2015. Methods Varieties， dosage and sales amount of oral cardio-cerebrovascula Chinese patent medicine during 2010-2015 were analyzed through hospital information system database of the centre. DDDs， DDC and B/A values were calculated. Results Oral cardio-cerebrovascular Chinese patent medicine accounted for 23.67% of all kinds of medicine during 2010-2015. The average annual growth rate of the amount of sales was 11.96%， accounting for 48.73% of total sales. DDDs showed an upward trend over six years， including DDDs of Compound Danshen Dirpping Pills ranking the first. DDC and B/A also showed the daily cost of most of oral cardio-cerebrovascular Chinese patent medicine was less than 10 yuan. B/A value was approximately equal to 1， indicating that these kinds of medicine had better synchronization， and high frequency of usage. Oral cardio-cerebrovascular Chinese patent medicine dominated in all kinds of Chinese patent medicine during 2010-2015， which was related to the reason that most patients were old people. The frequentness during 2010-2015 in the centre did not changed much， and the structure was relatively stable. Conclusion The usage of oral cardio-cerebrovascular Chinese patent medicine in the center is reasonable， with some problems， which need to be further supervised.
Key words： cardio-cerebrovascular； Chinese patent medicine； hospital pharmacy
北京市天坛社区卫生服务中心(以下简称“本中心”)属A类社区卫生服务机构，辖区拥有2个街道办事处25个居委会，服务人口约6.3万人。本中心设有全科医疗科、预防保健科、中医科、妇科等业务科室，下辖金鱼池、天坛东里、天坛南里、前门4个社区卫生服务站，是北京市基本医疗保险定点机构。自2009年，按照北京市政府统一部署，实行社区常用药品的政府集中采购、统一配送、零差率销售，开始实施国家基本药物制度。2012年版《国家基本药物目录》[1]中成药达到203种，充分体现了国家十分重视中医药在医疗改革中的作用。为了解和掌握本中心的用药特点，笔者对2010-2015年口服心脑血管类中成药使用情况进行统计分析，兹介绍如下。
1 资料与方法, 百拇医药(李雅萍 郝旭 马义雯)
关键词：心脑血管；中成药；医院药学
DOI：10.3969/j.issn.1005-5304.2016.10.030
中图分类号：R288 文献标识码：A 文章编号：1005-5304(2016)10-0119-05
Abstract： Objective To investigate the usage of oral cardio-cerebrovascular Chinese patent medicine in Tiantan Community Health Service Center of Beijing (hereinafter referred to as “the centre”) during 2010-2015. Methods Varieties， dosage and sales amount of oral cardio-cerebrovascula Chinese patent medicine during 2010-2015 were analyzed through hospital information system database of the centre. DDDs， DDC and B/A values were calculated. Results Oral cardio-cerebrovascular Chinese patent medicine accounted for 23.67% of all kinds of medicine during 2010-2015. The average annual growth rate of the amount of sales was 11.96%， accounting for 48.73% of total sales. DDDs showed an upward trend over six years， including DDDs of Compound Danshen Dirpping Pills ranking the first. DDC and B/A also showed the daily cost of most of oral cardio-cerebrovascular Chinese patent medicine was less than 10 yuan. B/A value was approximately equal to 1， indicating that these kinds of medicine had better synchronization， and high frequency of usage. Oral cardio-cerebrovascular Chinese patent medicine dominated in all kinds of Chinese patent medicine during 2010-2015， which was related to the reason that most patients were old people. The frequentness during 2010-2015 in the centre did not changed much， and the structure was relatively stable. Conclusion The usage of oral cardio-cerebrovascular Chinese patent medicine in the center is reasonable， with some problems， which need to be further supervised.
Key words： cardio-cerebrovascular； Chinese patent medicine； hospital pharmacy
北京市天坛社区卫生服务中心(以下简称“本中心”)属A类社区卫生服务机构，辖区拥有2个街道办事处25个居委会，服务人口约6.3万人。本中心设有全科医疗科、预防保健科、中医科、妇科等业务科室，下辖金鱼池、天坛东里、天坛南里、前门4个社区卫生服务站，是北京市基本医疗保险定点机构。自2009年，按照北京市政府统一部署，实行社区常用药品的政府集中采购、统一配送、零差率销售，开始实施国家基本药物制度。2012年版《国家基本药物目录》[1]中成药达到203种，充分体现了国家十分重视中医药在医疗改革中的作用。为了解和掌握本中心的用药特点，笔者对2010-2015年口服心脑血管类中成药使用情况进行统计分析，兹介绍如下。
1 资料与方法, 百拇医药(李雅萍 郝旭 马义雯)