我院乳腺恶性肿瘤化疗患者使用中药注射剂的专项处方点评
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篇名: 我院乳腺恶性肿瘤化疗患者使用中药注射剂的专项处方点评
TITLE:
摘要: 目的:为乳腺恶性肿瘤化疗患者合理使用中药注射剂提供参考。方法:根据主要疾病诊断利用医院信息系统(HIS)抽取我院2014年1-9月所有乳腺恶性肿瘤化疗患者856例,对其中药注射剂不合理使用、联合用药、不良反应等情况进行统计分析。结果:856例患者中使用中药注射剂572例,占抽取病例的66.83%;涉及到中药注射剂共11种;不合理使用情况主要集中在给药剂量不适宜(21.78%)、溶剂用量不适宜(31.06%)、给药疗程不适宜(82.35%)等方面。在使用中药注射剂的病例中,2种中药注射剂联用104例(占18.19%),3种中药注射剂联用1例(占0.12%);共发生8例不良反应。结论:医院应制定相关的使用规范和管理措施,规范医师的用药行为,促进中药注射剂的合理使用。
ABSTRACT: OBJECTIVE: To provide reference for rational use of TCM injection in patients receiving malignant breast tumor chemotherapy. METHODS: According to main disease diagnosis, 856 patients receiving malignant breast tumor chemotherapy were collected during Jan.-Sept. 2014 by using HIS, and then analyzed statistically in respects of irrational use of TCM injection, drug combination, ADR, etc. RESULTS: Of 856 patients, 572 patients received TCM injection, accounting for 66.83%; 11 kinds of TCM injections were involved. Irrational drug use mainly contained unsuitable dose (21.78%), unsuitable solvent (31.06%), unsuitable medication course (82.35%), etc. Among TCM injection cases, there were 104 cases of combined use of 2 TCM injections (18.19%), and 1 case of combined use of 3 kinds of TCM injection (0.12%). A total of 8 cases of ADR occurred. CONCLUSIONS: Related regulation and management measures should be formulated, and prescribing behavior of physicians also should be standardized to to promote the rational use of TCM injections.
期刊: 2016年第27卷第2期
作者: 马红芳,朱小丽,孙红爽,陈赫军,种宝贵
AUTHORS: MA Hongfang,ZHU Xiaoli,SUN Hongshuang,ZHEN Hejun,CHONG Baogui
关键字: 乳腺恶性肿瘤;中药注射剂;合理用药;处方点评
KEYWORDS: Malignant breast tumor; TCM injections; Rational drug use; Prescription evaluation
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