目的 分析抚顺市中医院心病科2016-2018年中药注射剂的使用情况以及变化趋势，为临床合理用药提供参考。方法 收集2016-2018年抚顺市中医院心病科中药注射剂的使用数据，分析销售金额、用药频度（DDDs）、限定日费用（DDC）以及药品排序比（B/A）；采用回顾性分析方法，随机抽取本院心病科2016-2018年使用金额排前3位的中药注射剂各100例，分析其用药合理性。结果 中药注射剂的使用金额占比较高，但呈下降趋势。其中丹红注射液的使用金额稳居第1位。注射用血栓通、丹红注射液、疏血通注射液的DDDs均居前3位，显示较高的使用率。大株红景天注射液、丹红注射液、注射用丹参多酚酸盐的DDC值偏高，居前3位。大多数中药注射剂的B/A接近于1.00。中药注射剂的使用存在疗程不适宜、重复用药、溶媒选择不当等情况。结论 抚顺市中医院心内科中药注射剂的使用总体上比较合理，但仍存在一些不合理用药现象，临床药师需积极干预，继续开展处方医嘱点评、合理用药宣教等工作，保证临床用药合理性。

Objective To analyze the usage and variation tendency of traditional Chinese medicine (TCM) injections of Department of Cardiology in Fushun Hospital of Chinese Medicine from 2016 to 2018, and provide a reference for clinical rational drug use. Methods Consumption sum, defined daily doses (DDDs), defined daily cost (DDC), and drug sequence ratio of TCM injections in Department of Cardiology and from 2016 to 2018 were analyzed statistically. A retrospective analysis method was used to select randomly TCM injections (100 cases) with the top 3 consumption sum in Department of Cardiology from 2016 to 2018, and the rationality of drug use was analyzed. Results The ratio of consumption sum of TCM injections was relatively high, but showing a reducing trend year by year. Consumption sum of Danhong Injection always ranked the first of single products. DDDs of Xueshuangtong Injection, Danhong Injection, and Shuxuetong Injection had always been ranked among the top three, showing high rate of utilization. DDC of Sofren Injection, Danhong Injection, and Salvianates for injection were high, and ranked the top three. The drug sequence ratio of most TCM injections was equal to 1.00. There were indications such as unsuitable course, repeated use of drugs, and improper choice of solvents in the use of TCM injections. Conclusion The use of TCM injections in Department of Cardiology is generally reasonable, but there were still some phenomena of irrational use of drugs. It is necessary to regulate drug use behaviors through clinical pharmacist interventions, prescription medical opinion, and rational drug education, to ensure the rationality of drug use.

R972