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[摘要]
目的 了解2013—2017年哈励逊国际和平医院儿科清热解毒类中药注射剂的使用情况,为医院管理和临床合理用药提供参考。方法 收集哈励逊国际和平医院儿科2013—2017年清热解毒类中药注射剂的相关用药信息,对药品种类、销售金额、用药频度(DDDs)、日均费用(DDC)、排序比(B/A)进行统计分析。结果 清热解毒类中药注射剂的品种数和销售金额基本稳定,但其占药品总金额的百分比呈下降趋势,同时痰热清注射液、喜炎平注射液和血必净注射液的销售金额呈增长趋势,注射用双黄连和注射用炎琥宁呈下降趋势,热毒宁注射液呈先升后降的趋势。痰热清注射液、喜炎平注射液、血必净注射液和热毒宁注射液的DDDs值呈增长趋势,注射用双黄连和注射用炎琥宁呈下降趋势。DDC值最大的是喜炎平注射液,最小的是注射用双黄连。大部分药物的B/A值均接近1,说明用药份额与用药选择一致性相对较好。结论 哈励逊国际和平医院儿科清热解毒类中药注射剂的应用基本合理,但还存在不合理情况,应加强其规范使用的管理。
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[Abstract]
Objective To analyze the utilization of traditional Chinese medicine (TCM) injection for heat-clearing in Department of Pediatric of Harrison International Peace Hospital from 2013 to 2017, to provide references for hospital management and clinical rational use of drugs. Methods The utilization information of TCM injection for heat-clearing in Department of Pediatric of Harrison International Peace Hospital from 2013 to 2017 was extracted, and drug varieties, sales amount, defined daily doses (DDDs), average daily cost (DDC), and sorting ratio (B/A) were analyzed statistically. Results The number of varieties and sales amount of TCM injection for heat-clearing was basically stable, but the percentage of the total amount of drugs was decreased. Meanwhile the sales volume of Tanreqing Injection, Xiyanping Injection, and Xuebijing Injection showed an increasing trend, and Shuanghuanglian for injection and Yanhuning for injection showed a downward trend, and Reduning Injection showed a trend of first ascending and then descending. DDDs of Tanreqing Injection, Xiyanping Injection, and Xuebijing Injection showed an increasing trend, and Shuanghuanglian for injection and Yanhuning for injection showed a downward trend. DDC of Xiyanping Injection was maximal, and DDC of Shuanghuanglian Injection was minimal. The B/A values of most drugs were near to 1, showing good consistency between market share and drug choice. Conclusion The application of TCM injection for heat-clearing in Department of Pediatric of Harrison International Peace Hospital is reasonable on the whole, but there is some unreasonable use, therefore the management of its standardization is should be strengthened.
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