Investigation and Influencing Factors of Ingredients of Traditional Chinese Medicine Decoction Pieces Prescriptions in a Grade Ⅲ,Level A Hospital in Shenzhen
OBJECTIVE:To probe into the number of ingredients in traditional Chinese medicine(TCM)decoction pieces prescriptions and its influencing factors in the hospital,and to find improvement measures,so as to promote the rational application of TCM decoction pieces.METHODS:A total of 2 880 outpatient TCM decoction pieces prescriptions of the hospital in 2023 were extracted,information of patients'genders,ages,number of ingredients,clinical departments and physician titles were entered through Excel software,the correlation between the above factors and the number of ingredients in prescriptions were emphatically analyzed.SPSS 27.0 software was used to analyze the data statistically.RESULTS:Among the 2 880 TCM decoction pieces prescriptions extracted,the average number of ingredients was 13.99,the frequency of ingredients was mainly concentrated from 11 to 20 ingredients,with the largest number of 16 ingredients(465 prescriptions,16.15%).The difference in the number of ingredients among patients with different genders was not statistically significant(P>0.05).The difference in the number of ingredients among patients with different ages was statistically significant(P<0.01),in which the number of ingredients among patients>50 years was more than those of other age groups;with the rise of physician titles,the number of ingredients also showed an increasing trend,and the differences in the number of ingredients among different physician titles were statistically significant(P<0.01).The clinical departments ranked by the average number of ingredients were mainly Departments of Mingyiguan,Spleen and Stomach Diseases,Geriatrics,Nephrology and Hepatology.The number of prescriptions with ingredients>18 was 280(9.72%),which were mainly concentrated in the Departments of Spleen and Stomach Diseases,Mingyiguan and School Workshop.A prescription review was performed for 280 large prescriptions,the irrational rate was as 31.43%(88 prescriptions).CONCLUSIONS:The number of ingredients in TCM decoction pieces prescriptions in the hospital is relatively high,and the number of ingredients is affected by the age of the patients,the title of physicians and the departments of treatment.The irrational rate of large prescription is also high,which mainly reflects in the simple addition of ingredients and unknown principal and auxiliary parts of medicines.
Traditional Chinese medicine decoction pieces prescriptionsNumber of ingredientsInfluencing factorsRational drug use
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