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目的:了解洛阳正骨医院门诊中药饮片处方的用药情况。方法:随机抽取我院门诊2011年至2013年中药饮片处方14874张,对处方药味数、使用剂量、使用频率、使用总量功效类别等进行统计分析。结果:中药饮片处方药味数以10~15味药居多;最常用的单味药剂量是10、12及15 g,总频次占57.1%;处方单剂药总重量201~300 g的处方所占比例最高,为56.6%;按中药饮片功能分类以补虚药居第一,使用频率为24.8%,其次为活血化瘀药,清热药,祛风湿药;使用频率位列前10位的依次为甘草、当归、黄芪、续断、川牛膝、延胡索、萆薢、土茯苓、赤芍,使用频率均超过30%。结论:补虚药、活血化瘀药清热药、祛风湿药在骨伤中医院门诊治疗中占有重要地位;实际应用剂量与《中国药典》规定剂量有部分出入;在临床中仍要加强中药饮片的安全使用,做到合理、安全用药。
Objective: To understand the prescription of Luoyang Orthopedics Hospital outpatient prescriptions medication. Methods: A total of 14,874 prescriptions of Chinese herbal medicine tablets were collected from 2011 to 2013 in our clinic, and the statistical analysis was made on the prescriptions, the dosage, the frequency of use and the total efficacy categories. Results: The prescriptions of Chinese Herbal Pieces were mostly in the range of 10-15 herbs. The single most commonly used herbs were 10, 12 and 15 g in total frequency, accounting for 57.1% of the total frequency. Prescriptions for single prescriptions with the total weight of 201-300 g The highest proportion of 56.6%; according to the functional classification of Chinese Herbal Pieces to tonic drug first, the use frequency of 24.8%, followed by blood circulation drugs, heat-clearing drugs, rheumatism; use frequency top 10 were Licorice, Angelica, Astragalus, Dipsacus, Achyranthes, Corydalis, Emus, Smilax, red peony, the use of frequency of more than 30%. Conclusion: Tonic drugs, heat-clearing and blood-clearing drugs, expelling rheumatoid drugs occupy an important position in the outpatient treatment of orthopedics in the hospital. The actual dosage is different from that prescribed in Chinese Pharmacopoeia. The safe use, to be reasonable and safe medication.