中国临床药学杂志2024,Vol.33Issue(11) :801-806.DOI:10.19577/j.1007-4406.2024.11.001

抗肿瘤中药注射剂临床用药现状分析

Analysis of the current status of clinical use of antitumor traditional Chinese medicine injections

周俐斐 李笑青 蒲山耀 许高奇 方罗
中国临床药学杂志2024,Vol.33Issue(11) :801-806.DOI:10.19577/j.1007-4406.2024.11.001

抗肿瘤中药注射剂临床用药现状分析

Analysis of the current status of clinical use of antitumor traditional Chinese medicine injections

周俐斐 1李笑青 2蒲山耀 3许高奇 1方罗1
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作者信息

  • 1. 浙江省肿瘤医院药剂科,杭州 310022
  • 2. 温州医科大学药学院,温州 325035
  • 3. 杭州医学院,杭州 310053
  • 折叠

摘要

目的 了解抗肿瘤中药注射剂的临床用药现状,分析抗肿瘤中药注射剂的用药特点和趋势.方法 收集2019至2023年浙江省12家医院中8种抗肿瘤中药注射剂的临床使用相关信息,并对其药物利用情况、超说明书用药、不良反应等情况进行统计分析.结果 2019至2023年,8种抗肿瘤中药注射剂院内销售金额平均下降幅度为62.50%,日均费用(DDC)平均下降幅度为43.69%,药物利用指数(DUI)在标准区间(0.80~1.20)内的品种数比例提高了38.09%.超说明书用药情况总体良好,主要为超适应证和用法用量不符.不良反应以轻中度为主(占80.75%),其中呼吸系统、皮肤和全身性反应的不良反应发生率较高,分别为25.38%、20.00%和20.77%.结论 抗肿瘤中药注射剂消费结构的调整和各环节风险防控措施的制定,在抗肿瘤中药注射剂的临床使用合理性、经济性和安全性等方面均取得较好的效果.

Abstract

AIM To investigate the status of 8 antitumor injections of traditional Chinese medicine(TCM)in the clinic and further analyze their characteristics and trends.METHODS The clinical use information of 8 antitumor TCM injections from 2019 to 2023 was collected from 12 hospitals in Zhejiang Province.Subsequently,statistical analysis was conducted on the evaluation of drug utilization,off-label use and adverse reactions.RESULTS From 2019 to 2023,the sales revenue of 8 antitumor TCM injections decreased by 69.74%in 12 hospitals of Zhejiang province,with an average daily drug cost(DDC)decrease of 43.80%.The proportion of varieties with drug utilization index(DUI)values within the standard range(0.80-1.20)increased by 38.09%.The off-label drug use was generally good,mainly involving the mismatch between the indication and dosage.Adverse reaction events were mainly mild to moderate,accounting for 80.12%.The incidences of respiratory,skin,and systemic reactions were relatively high,with rates of 28.34%,20.32%,and 20.77%,respectively.CONCLUSION From 2019 to 2023,the consumption structure,as well as the risk prevention of antitumor TCM injections in 12 hospitals of Zhejiang Province were rationally adjusted,which improved the clinical application,economy and safety of these TCM injections.

关键词

抗肿瘤中药注射剂/药物利用指标/日均费用/合理用药/风险防控

Key words

antitumor injection of traditional Chinese medicine/drug utilization index/daily average cost/rational administration of drug/risk prevention and control

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出版年

2024
中国临床药学杂志
中国药学会

中国临床药学杂志

CSTPCD
影响因子:0.502
ISSN:1007-4406
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