中国中医药信息杂志2018，Vol.25Issue(4)：122-124,3.DOI:10.3969/j.issn.1005-5304.2018.04.027
中西药联合应用评价实践探索
Practice and Exploration of Combined Application Evaluation of Traditional Chinese and Western Medicine
刘军刚 1李喜香 1刘效栓 1张民 1肖正国1
作者信息
- 1. 甘肃省中医院药学部,甘肃 兰州 730050
- 折叠
摘要
Abstract
Objective To analyze the rationality of the combined application prescriptions of traditional Chinese and Western medicine; To discuss the problems in the evaluation of the combined application of traditional Chinese and Western Medicine. Methods A total of 12 issue monthly outpatient combination application prescriptions of traditional Chinese and Western medicine were randomly selected in Gansu Provincial Hospital of Traditional Chinese Medicine (Here in after referred to as "this hospital"). According to the relevant laws and regulations, evaluation rules of the combined application traditional Chinese and Western medicine was developed, reviewed and statistically summarized. Results Totally 1900 prescriptions were sampled in the study and accounted for 8.67% in all prescriptions (including prescription of traditional Chinese herbal medicine) and accounted for 20.87% of all prescription of pure Western medicine and pure traditional Chinese patent medicine in the same period, which meet the requirements of sampling rate. Prescriptions of department of orthopedics accounted for the majority. The average number of drugs and the average amount of each prescription of department of orthopedics were lower than the overall average. The sample consisted of 1852 patients, 796 males and 1056 females. Middle-aged patients (36-60 years old) of combined medication were up to 49.46% of the total number of patients. 3990 terms of diagnosis were involved, including 1908 terms of traditional Chinese medicine diagnosis and 2082 terms of Western medicine diagnosis. Orthopedics disease diagnosis accounted for more than 50%. The main problems of the combined application of traditional Chinese and Western medicine were the non syndrome differeentiationg use of medicine, inappropriate usage and dosage, and the lack of attention to medicine interactions. Conclusion The combined application prescriptions of traditional Chinese and Western medicine of this hospital account for a small proportion. Prescription structure adapts with the size of the department, patient age and disease diagnosis. In the future, the prescription evaluation and intervention of syndrome differeentiationg application and dosage and medicine interaction should be strengthened.关键词
中西医结合/中西药联用/处方评价Key words
integrated traditional Chinese and Western medicine/combined application of traditional Chinese and Western medicine/prescription evaluation分类
医药卫生引用本文复制引用
刘军刚,李喜香,刘效栓,张民,肖正国..中西药联合应用评价实践探索[J].中国中医药信息杂志,2018,25(4):122-124,3.
