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十堰市太和医院2020-2022年住院部中成药使用情况分析

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目的:分析十堰市太和医院2020-2022年住院部中成药使用现状,并探讨其使用合理性,为临床合理、安全、有效和经济地使用中成药提供依据。方法:根据2020-2022年十堰市太和医院住院部中成药的使用情况,统计中成药名称、品种、用量、销售金额和药品总金额及出院人数,计算用药频率(DDDs)、日均费用(DDC)、中成药占药品总金额占比和例均中成药药品费用。结果:以剂型排名,注射液、胶囊剂、片剂在近3年内其销售额位居前三位;以药品功效类别排名,连续3年销售金额排名前3位的住院部中成药为祛瘀药、抗肿瘤药、祛湿药;以DDDs排序,地榆升白片、胆宁片、生血宁片、迈之灵片连续3年排名靠前,且三年间地榆升白片,胆宁片、迈之灵片的DDDs呈明显升高趋势;以DDC排序,近三年呈逐年下降趋势,其中康艾注射液、鸦胆子油软胶囊、舒肝宁注射液连续3年排序靠前;2020-2022年医院住院部中成药占药品总金额占比呈逐年下降趋势,例均中成药药品费用逐年下降。结论:随着医院对中成药的管控加强,中成药销售金额、例均药品费用呈逐年下降趋势,而且使用更加规范,部分DDC较高的中成药使用逐渐减少,患者经济压力得到进一步减轻。
Analysis on Usage of Oral Chinese Patent Medicine in the Inpatient Department of Shiyan Taihe Hospital from 2020 to 2022
Objective:To analyze the current situation of Chinese patent medicine in the inpatient department of Shiyan Taihe Hospital from 2020 and 2022 and explore the rationality of its use,so as to provide a basis for clinical rational,safe,effective and economic use of Chinese patent medicine.Methods:According to the usage of oral Chinese patent medicine in the inpatient department of Shiyan Taihe Hospital from 2020 and 2022,the name,variety,dosage,sales amount,total drug amount and the number of discharged people were counted.The frequency of drug use(DDDs),the average daily cost(DDC)and the proportion of Chinese patent medicine in the total amount of drugs,and the average cost of Chinese patent medicine per case were calculated and analyzed.Results:According to the ranking of dosage forms,injection,capsule and tablet have ranked among the top three in sales in the past three years.Blood stasis removing drug,anti-tumor drug and dampness removing drug ranked the top three in terms of drug efficacy category in terms of sales amount for three consecutive years.Ranked by DDDs,Diyu Shengbai Tablets(地榆升白片),Danning Tablets(胆宁片),Shengxuening Tablets(生血宁片)and Maizhiling Tablets(迈之灵片)have ranked high for three consecutive years,and the DDDs of Diyu Shengbai Tablet,Danning Tablet and Maizhiling Tablet have shown a significant upward trend over the past three years.Ranked by DDC,there has been a decreasing trend over the past three years,with Kang'ai Injection(康艾注射液),Brucea Javanica Oil Soft Capsule(鸦胆子油软胶囊),and Shuganning Injection(舒肝宁注射液)ranking high for three consecutive years.The proportion of Chinese patent medicine in the total amount of drugs in the inpatient department of the hospital declined year by year from 2020 to 2022,and the average drug cost per case declined year by year.Conclusion:With the strengthening of hospital control over Chinese patent medicine,the sales amount of Chinese patent medicine and the average drug cost per case declined year by year,and the usage is more standardized.The usage of some higher DDC Chinese patent medicine gradually reduced,and the economic pressure of patients further reduced.

Chinese patent medicineusagestatistical analysis

梁欢、郑涛、杨寒雷

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十堰市太和医院/湖北医药学院附属医院,湖北 十堰 442000

湖北医药学院,湖北 十堰 442000

中成药 使用情况 统计分析

国家自然科学基金青年基金项目湖北省自然科学基金项目

817035822020CFB713

2024

中医药导报
湖南省中医药学会 湖南省中医管理局

中医药导报

CSTPCD
影响因子:0.952
ISSN:1672-951X
年,卷(期):2024.30(9)