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[摘要]
目的 分析2015年煤炭总医院门诊处方中妊娠及哺乳期妇女中成药的使用情况,为特殊人群合理使用中成药提供依据。方法 从HIS系统提取相关数据,分析2015年煤炭总医院中成药的销售金额、品种、用药频度(DDDs)和日均费用(DDC)值;收集使用过的中成药说明书,并对其中涉及妊娠期及哺乳期妇女用药内容进行分析。结果 益气维血颗粒的DDDs值排名第1位,DDC最低,五加生化胶囊的DDC最高;妇产科计生门诊使用的中成药品种数共计56种;妊娠期贫血、上呼吸道感染是常见疾病;涉及妊娠期妇女慎用、忌用、禁用的品种占总数的比例分别为7.14%、5.36%、14.29%。用药辨证不当、用法用量不当、疗程不合理是不合理应用的主要原因。结论 2015年煤炭总医院妇产科中成药使用情况基本合理,然而说明书中关于妊娠期及哺乳期用药安全性的信息不全,处方书写不规范,哺乳期妇女尤为严重,药品监管部门应加强监督,保证妊娠期及哺乳期妇女用药安全。
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[Abstract]
Objective To investigate the application of Chinese patent medicine in pregnancy and lactating women in the outpatient prescriptions of Meitan General Hospital in 2015, and to provide the basis for clinical rational drug use. Methods Extracting the relevant data from the HIS system, the use of the amount, variety, DDDs, and DDC of Chinese patent medicine of Meitan General Hospital in 2015 were analyzed. The collected Chinese patent medicine manual was used to analyze the content of drugs in pregnant and lactating women. Results DDDs of Yiqi Weixue Granules ranked the first, and DDC of it was the lowest. While DDC of Wujia Shenghua Capsule was the highest. There were 56 kinds of Chinese patent medicine used in Department of Maternity and Obstetrics Clinic. Pregnancy anemia and upper respiratory tract infection were the common disease during pregnancy. The proportion of caution, contraindicated, and disabled to use in pregnancy women were 7.14%, 5.36%, and 14.29%. The main reasons for the unreasonable application were the improper use of medicine, inappropriate usage and dosage, and unreasonable course of treatment. Conclusion The usage of Chinese patent medicines in Meitan General Hospital in 2015 is basically reasonable. However, there is a lack of instructions in pregnancy and lactation period, especially in lactating women. Drug regulatory authorities should strengthen supervision to ensure the safety of women during pregnancy and lactation.
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