目的 分析湖南中医药高等专科学校附属第一医院国家实施重点监控合理用药前后的药品使用情况，为医院合理使用重点监控药品提供参考。方法 统计湖南中医药高等专科学校附属第一医院2019年1月-2020年12月住院患者重点监控药品的使用情况。结果 湖南中医药高等专科学校附属第一医院2019年使用的重点监控药品中有12个品种，占比60%；2020年有11个品种，占比55%；部分科室存在用药指征不足的现象。经重点监控，2020年使用量和销售金额均大幅下降。结论 湖南中医药高等专科学校附属第一医院的重点监控药品品种存在科室特点、结构基本合理，部分科室仍存在无指征用药情况，将继续加强监控和重点督查。

Objective TO analyze the use of drugs in The First Affiliated Hospital of Hunan Traditional Chinese Medicine College before and after national key supervision of such drugs, so as to provide reference for our hospital to standardize the rational use of drugs under key supervision. Methods The use of key monitored drugs among inpatients in The First Affiliated Hospital of Hunan Traditional Chinese Medicine College from January to December in 2019 and 2020 were analyzed. Results The First Affiliated Hospital of Hunan Traditional Chinese Medicine College used 12 kinds of key monitoring drugs in 2019, accounting for 60%, and 11 varieties accounted for 55% in 2020. Some departments have insufficient medication indications. According to the key monitoring, the usage and consumption amount in 2020 both decreased significantly. Conclusion The key monitored drug varieties of The First Affiliated Hospital of Hunan Traditional Chinese Medicine College have the characteristics of departments and the structure is basically reasonable, and some departments still have the situation of drug requisition without indication, so the monitoring and key supervision will continue to be strengthened.

R969.3