2015年9月—2016年9月广州中医药大学附属骨伤科医院骨伤科门诊中药饮片处方药物剂量调查分析(1)
摘要：目的 统计分析广州中医药大学附属骨伤科医院(以下简称“本院”)骨伤科门诊中药超量使用情况，为骨伤科临床合理使用中药提供参考。方法 随机抽取本院2015年9月-2016年9月骨伤科门诊处方1200张，以2015年版《中华人民共和国药典》和新世纪第二版教材《中药学》为参考依据，对使用量排名前30位中药饮片进行回顾性分析。结果 使用频率最高的前30位品种100%超量使用，其中超量50%以上的品种有11个；95.93%的处方均在18味以内。结论 本院骨伤科门诊中药处方超量使用现象普遍，造成中药资源浪费，增加患者经济负担。
关键词：骨伤科；中药饮片；临床药学
DOI：10.3969/j.issn.1005-5304.2018.01.028
中图分类号：R288 文献标识码：A 文章编号：1005-5304(2018)01-0121-03
Investigation and Analysis of TCM Decoction Pieces and Prescription Drugs Dosage in Affiliated Orthopedics and Traumatology Hospital of Guangzhou University of
TCM During Sep. 2015 - Sep. 2016
YUAN De-jun， CHEN Shi-min， ZHOU Ying-min
The Affiliated Orthopedics and Traumatology Hospital of Guangzhou University of Traditional Chinese Medicine， Guangzhou 510240， China
Abstract： Objective To statistically analyze the overdose of Chinese materia medica in Orthopedics and Traumatology Outpatient Clinic of The Affiliated Orthopedics and Traumatology Hospital of Guangzhou University of Traditional Chinese Medicine (hereinafter referred to as “our hospital”)； To provide references for rational application of Chinese materia medica in orthopedics and traumatology department. Methods Totaiiy 1200 prescriptions during Sep. 2015 - Sep. 2016 in Orthopedics and Traumatology Outpatient Clinic were randomly selected. Based on the Chinese Pharmacopoeia (2015 Edition) and the second edition of the New Century textbook Chinese Medicine as references， the top 30 of the use of TCM decoction pieces were retrospectively analyzed. Results The top 30 of the use of TCM decoction pieces were 100% overdosed， among which 11 TCM decoction pieces were 50% overdosed； 95.93% prescriptions were with 18 kinds of Chinese materia medica. Conclusion Excessive use of Chinese materia medica prescriptions are common in Orthopedics and Traumatology Outpatient Clinic of out hospital， which causes waste of TCM resources and imposes patients’ financial burden.
Keywords： department of orthopaedics and traumatology； TCM decoction pieces； clinical pharmacy
藥物组成和剂量是处方药物发挥疗效的基础，中药饮片用量是否恰当，不仅与临床疗效关系密切，还与药物经济学、中药不良反应息息相关。《中华人民共和国药典》[1](以下简称《中国药典》)是我国颁布的药物使用法典，《中药学》[2]是临床医生及药师学习的教材，但两者间有不少中药用量存在差异，且临床处方中某些中药用量与其相比严重超量，骨伤科处方亦如此。因此，笔者对本院骨伤科中药饮片处方用量进行调查分析，为促进临床中药饮片的合理使用，以及今后用量标准的修改提供参考。
1 资料与方法
从本院医院信息管理系统提取骨伤科门诊中药饮片处方2015年9月-2016年9月使用频次排名前30位的中药饮片。以《中国药典》《中药学》为依据进行对照分析，两者未收录的品种参考《广东省中药饮片炮制规范》[3]。
方法：每月最后一个工作日收集当月所有骨伤科门诊处方并统计总处方张数，总处方张数÷100=抽样间隔数，每隔1个抽样间隔数抽取1张作为调研样本，以此类推，直至抽足所需样本数100张为止。, 百拇医药(袁德俊 陈诗敏 周英敏)
关键词：骨伤科；中药饮片；临床药学
DOI：10.3969/j.issn.1005-5304.2018.01.028
中图分类号：R288 文献标识码：A 文章编号：1005-5304(2018)01-0121-03
Investigation and Analysis of TCM Decoction Pieces and Prescription Drugs Dosage in Affiliated Orthopedics and Traumatology Hospital of Guangzhou University of
TCM During Sep. 2015 - Sep. 2016
YUAN De-jun， CHEN Shi-min， ZHOU Ying-min
The Affiliated Orthopedics and Traumatology Hospital of Guangzhou University of Traditional Chinese Medicine， Guangzhou 510240， China
Abstract： Objective To statistically analyze the overdose of Chinese materia medica in Orthopedics and Traumatology Outpatient Clinic of The Affiliated Orthopedics and Traumatology Hospital of Guangzhou University of Traditional Chinese Medicine (hereinafter referred to as “our hospital”)； To provide references for rational application of Chinese materia medica in orthopedics and traumatology department. Methods Totaiiy 1200 prescriptions during Sep. 2015 - Sep. 2016 in Orthopedics and Traumatology Outpatient Clinic were randomly selected. Based on the Chinese Pharmacopoeia (2015 Edition) and the second edition of the New Century textbook Chinese Medicine as references， the top 30 of the use of TCM decoction pieces were retrospectively analyzed. Results The top 30 of the use of TCM decoction pieces were 100% overdosed， among which 11 TCM decoction pieces were 50% overdosed； 95.93% prescriptions were with 18 kinds of Chinese materia medica. Conclusion Excessive use of Chinese materia medica prescriptions are common in Orthopedics and Traumatology Outpatient Clinic of out hospital， which causes waste of TCM resources and imposes patients’ financial burden.
Keywords： department of orthopaedics and traumatology； TCM decoction pieces； clinical pharmacy
藥物组成和剂量是处方药物发挥疗效的基础，中药饮片用量是否恰当，不仅与临床疗效关系密切，还与药物经济学、中药不良反应息息相关。《中华人民共和国药典》[1](以下简称《中国药典》)是我国颁布的药物使用法典，《中药学》[2]是临床医生及药师学习的教材，但两者间有不少中药用量存在差异，且临床处方中某些中药用量与其相比严重超量，骨伤科处方亦如此。因此，笔者对本院骨伤科中药饮片处方用量进行调查分析，为促进临床中药饮片的合理使用，以及今后用量标准的修改提供参考。
1 资料与方法
从本院医院信息管理系统提取骨伤科门诊中药饮片处方2015年9月-2016年9月使用频次排名前30位的中药饮片。以《中国药典》《中药学》为依据进行对照分析，两者未收录的品种参考《广东省中药饮片炮制规范》[3]。
方法：每月最后一个工作日收集当月所有骨伤科门诊处方并统计总处方张数，总处方张数÷100=抽样间隔数，每隔1个抽样间隔数抽取1张作为调研样本，以此类推，直至抽足所需样本数100张为止。, 百拇医药(袁德俊 陈诗敏 周英敏)