论文部分内容阅读
目的探讨中成药处方不合理应用情况。方法收集2013年4月至2014年12月江苏省南通大学附属医院分院每月5、15、25日门诊所有中成药处方,对中成药使用存在的不合理现象进行分析。结果共收集1849张处方,不合理处方49张(2.7%),其中辨证不足27张(55.1%)、中成药和西药不合理联用13张(26.5%)、相同成分中药叠加重复使用7张(14.3%)、滥用滋补类中成药2张(4.1%)。结论中成药临床应用仍存在不同程度的不合理现象,合理选用中成药不仅要把握中医辨证论治的这一精髓,而且还要全面认识和考虑诸多不合理因素对中成药疗效的影响,从而安全、有效、经济地使用中成药。
Objective To investigate the irrational application of proprietary Chinese medicines prescriptions. METHODS: From April 2013 to December 2014, all prescriptions of proprietary Chinese medicines were collected from the clinics of Nantong University Affiliated Hospital of Jiangsu Province on the 5th, 15th and 25th of each month to analyze the irrational use of proprietary Chinese medicines. Results A total of 1849 prescriptions were collected, of which 49 were unreasonable (2.7%), of which 27 were syndrome differentiation (55.1%), 13 (26.5%) were unreasonable with Chinese patent medicine and western medicine, 7 (14.3%), abuse of tonic medicine 2 (4.1%). Conclusion There are still some unreasonable phenomena in the clinical application of proprietary Chinese medicines. The rational selection of proprietary Chinese medicines should not only grasp the essence of differentiation of symptoms and signs of traditional Chinese medicine, but also fully understand and consider the impact of many unreasonable factors on the efficacy of proprietary Chinese medicines, so as to be safe and effective , The economic use of proprietary Chinese medicines.