江苏常熟市3家医院2013-2015年中药注射剂使用分析
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篇名: 江苏常熟市3家医院2013-2015年中药注射剂使用分析
TITLE:
摘要: 目的:为中药注射剂的临床合理使用提供参考。方法:采用回顾性调查方法对常熟市3家医院2013-2015年中药注射剂销售金额、年增长率及构成比、用药频度(DDDs)、排序比(B/A)和日均费用(DDC)等进行统计分析。结果:2013-2015年,样本医院中药注射剂销售金额2014年较上年下降5.27%,2015年较上年下降15.92%;2013-2015年中药注射剂销售金额占药品总销售金额比例依次为4.40%、3.86%、3.13%。销售金额和DDDs居前3位的中药注射剂类别均为活血化瘀类、开窍回阳急救类和补益类;单品种销售金额位居前列的为醒脑静注射液、疏血通注射液、血必净注射液、参麦注射液和注射用血栓通等;单品种DDDs位居前列的为参麦注射液、热毒宁注射液、注射用血栓通等。参麦注射液和热毒宁注射液的B/A值较大,血必净注射液的DDC值最高。结论:中药注射剂在样本医院应用基本合理,整体呈下降趋势,但仍应重视其使用的安全性、有效性、合理性。
ABSTRACT: OBJECTIVE: To provide reference for rational use of TCM injection in the clinic. METHODS: In retrospective survey, the application of TCM injections in 3 hospitals from Changshu area during 2013-2015 were analyzed statistically in respects of consumption sum, annual growth rate, constituent ratio, DDDs, B/A, DDC, etc. RESULTS: During 2013-2015, in the sample hospitals, consumption sum of TCM injections in 2014 and 2015 declined by 5.27% and 15.92%, compared with last year. The proportion of consumption sum of TCM injections in total consumption sum were 4.40% in 2013, 3.86% in 2014 and 3.13% in 2015. Top 3 TCM injections in the list of consumption sum and DDDs were blood activating and stasis eliminating drugs, the resuscitation and reviving yang first aid class drugs and tonic drugs. The top single types in the list of consumption sum were Xingnaojing injection, Shuxuetong injection, Xuebijing injection, Shenmai injection and Xue shuantong for injection; the top single types in the list of DDDs were Shenmai injection, Reduning injection, Shuxuetong for injection, etc. B/A of Shenmai injection and Reduning injection were higher, while DDC of Xuebijing injection was the highest. CONCLUSIONS: The utilization of TCM injection is basically reasonable, and shows decreasing tendency in sample hospitals, but great importance should be attached to the safety and effectiveness of TCM injections and reasonable choice.
期刊: 2016年第27卷第35期
作者: 张俐,张桂芬,周晨霞
AUTHORS: ZHANG Li,ZHANG Guifen,ZHOU Chenxia
关键字: 中药注射剂;销售金额;用药频度;日均费用;用药分析
KEYWORDS: TCM injections; Consumption sum; DDDs; DDC; Analysis of drug use
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