目的 分析2010—2014年天津中医药大学附属第二医院中药注射剂的使用情况,为促进临床合理用药提供依据.方法 回顾性调查天津中医药大学附属第二医院2010—2014年中药注射剂的使用情况,计算药品的销售金额、用药频度(DDDs)、日均费用(DDC)及销售金额排序(B)和DDDs排序(A)的比值(B/A).结果 2010—2014年,中药注射剂品种构成相对稳定,以心脑血管类为主;心脑血管类与清热解毒类中药注射剂构成了DDDs与销售金额排名的前10位,单品种用药金额与DDDs排序变化较大;在DDDs排名前10位的药品中,大部分品种的DDC在100元以上;大多数中药注射剂品种的B/A接近1,用药同步性较好.结论 天津中医药大学附属第二医院中药注射剂的应用基本合理,但患者经济负担较重,应注意加强管理.

Objective To analyze the utilization of traditional Chinese medicine (TCM) injections in Second Affiliated Hospital of Tianjin University of TCM from 2010 to 2014, in order to provide reference for clinical rational use of drugs. Methods Retrospective investigation method was used. The consumption sum, daily defined doses (DDDs), average daily cost (DDC), and the ratio (B/A) of sequence of consumption sum (B) and sequence of DDDs in Second Affiliated Hospital of Tianjin University of TCM from 2010 to 2014 were analyzed statistically. Results From 2010 to 2014, species composition of TCM injections were relatively stable, and mainly were cardiovascular and cerebrovascular. DDDs and consumption sum of top 10 TCM injections were comprised with cardiovascular and cerebrovascular and antipyretic and antidotal TCM injections. Sortings of DDDs and consumption sum had not great changes. In DDDs of top 10 TCM injections, DDC of most TCM injections were above 100 RMB. B/A values of most TCM injections were almost 1. The synchronicity was better. Conclusion The application of TCM injections in Second Affiliated Hospital of Tianjin University of TCM is basically rational. However, economic burden of patients is heavy, which needs further efforts to strengthen the management.