Analysis on the use and rationality of heat-clearing herbal decoction pieces in a hospital from 2022 to 2023
Objective To investigate the use and rationality of heat-clearing herbal decoction pieces in my hospital from 2022 to 2023,and to provide reference for rational drug use in the clinic.Methods Excel software was used to analyze the consumption and consumption amount of heat-clearing TCM decoction pieces from January 2022 to December 2023,and 268 prescriptions were selected to compare and analyze the symp-toms,involved systems and causes of adverse reactions in patients.Results In the ranking of the dosage of heat-clearing Chinese medicine decoction pieces,the top 10 varieties are relatively stable,among which dandelion and white-flowered snake tongue grass are firmly in the top 2.In the ranking of the sales amount of heat-clearing traditional Chinese medicine decoction pieces,the top ten varieties are relatively stable,but the ranking of the sales amount will change slightly every year.Among the 268 prescription drugs of heat-clearing Chinese medicine decoction pieces,there were 124 prescription drugs with adverse reactions,mainly involving the skin and mucosal system,with the incidence of rash(20.52%),followed by the digestive system and other systems,with the incidence of nausea and vomiting,cold extremities and decreased blood pressure,with the incidence of 4.85%and 14.93%,respectively,and the reproductive system and respiratory system,with vaginal bleeding and shortness of breath,with the incidence of 2.61%and 3.36%,respectively.The causes of adverse reactions included improper compatibility,improper dosage,drug factors,dialectical inaccuracy,individual factors and others.Conclusion In 2022～2023,the varieties of heat-clearing Chinese medicine decoction pieces are relatively stable,but the dosage and sales amount of individual decoction pieces have changed significantly,and some of the prescriptions of heat-clearing Chinese medicine decoction pieces have adverse reaction symptoms,so in the process of use,the heat-clearing Chinese medicine decoction pieces should be carefully differentiated and management,medication guidance should be done,rational drug use publicity should be strengthened,and the quality of traditional Chinese medicine decoction pieces should be well controlled,so as to ensure the reasonable and safe use of heat-clearing Chinese medicine decoction pieces by patients.
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