2015年煤炭总医院门诊处方中妊娠及哺乳期妇女中成药使用.PDF

·1136 · 现代药物与临床 Drugs Clinic 第 32 卷 第 6 期 2017 年 6 月 2015 年煤炭总医院门诊处方中妊娠及哺乳期妇女中成药使用分析 李怡文, 孙静波, 张黎莉, 李 静* 煤炭总医院 药学部，北京 100028 摘 要：目的 分析 2015 年煤炭总医院门诊处方中妊娠及哺乳期妇女中成药的使用情况，为特殊人群合理使用中成药提供 依据。方法 从 HIS 系统提取相关数据，分析 2015 年煤炭总医院中成药的销售金额、品种、用药频度（DDDs ）和日均费用 （DDC ）值；收集使用过的中成药说明书，并对其中涉及妊娠期及哺乳期妇女用药内容进行分析。结果 益气维血颗粒的 DDDs 值排名第 1 位，DDC 最低，五加生化胶囊的 DDC 最高；妇产科计生门诊使用的中成药品种数共计 56 种；妊娠期贫血、上 呼吸道感染是常见疾病；涉及妊娠期妇女慎用、忌用、禁用的品种占总数的比例分别为 7.14%、5.36%、14.29%。用药辨证 不当、用法用量不当、疗程不合理是不合理应用的主要原因。结论 2015 年煤炭总医院妇产科中成药使用情况基本合理， 然而说明书中关于妊娠期及哺乳期用药安全性的信息不全，处方书写不规范，哺乳期妇女尤为严重，药品监管部门应加强监 督，保证妊娠期及哺乳期妇女用药安全。 关键词：中成药；妊娠及哺乳期；合理用药 中图分类号：R984 文献标志码：A 文章编号：1674 - 5515(2017)06 - 1136 - 05 DOI: 10.7501/j.issn.1674-5515.2017.06.041 Analysis on utilization of Chinese patent medicine in pregnancy and lactating women in the outpatient prescriptions of Meitan General Hospital in 2015 LI Yi-wen, SUN Jing-bo, ZHANG Li-li, LI Jing Department of Pharmacy, Meitan General Hospital, Beijing 100028, China Abstract: Objective To investigate the application of Chinese patent medicine in pregnancy and lactating women in the outpatient prescriptions of Meitan General Hospital in 2015, and to provide the basis for clinical rational drug use. Methods Extracting the relevant data from the HIS system, the use of the amount, variety, DDDs, and DDC of Chinese patent medicine of Meitan General Hospital in 2015 were analyzed. The collected Chinese patent medicine manual was used to analyze the content of drugs in pregnant and lactating women. Results DDDs of Yiqi Weixue Granules ranked the first, and DDC of it was the lowest. While DDC of Wujia Shenghua Capsule was the highest. There were 56 kinds of Chinese patent medicine used in Department of Maternity and Obstetrics Clinic. Pregnancy anemia and upper respiratory tract infection were the commo