中国医院用药评价与分析2025，Vol.25Issue(8)：932-937,6.DOI:10.14009/j.issn.1672-2124.2025.08.007
264家医疗机构中药饮片再加工开展情况调研分析
Investigation and Analysis on Reprocessing of Traditional Chinese Medicine Decoction Pieces in 264 Medical Institutions
摘要
Abstract
OBJECTIVE:To investigate the reprocessing status of traditional Chinese medicine decoction pieces in medical institutions in China.METHODS:Medical institutions from various regions in China were surveyed by using a self-designed electronic questionnaire distributed via the"Qestionnaire Star"platform.The questionnaire covered basic information about the medical institutions,status of traditional Chinese medicine decoction piece reprocessing projects,staffing,equipment and facilities,quality control system,and feedback on therapeutic efficacy.RESULTS:A total of 264 medical institutions from 30 provinces,autonomous regions,municipalities,and special administrative regions participated into the survey,with traditional Chinese medicine hospitals(116 cases,43.9%)and tertiary hospitals(203 cases,76.9%)being the main participants.There were 152 medical institutions(57.6%)reported a need for reprocessing of traditional Chinese medicine decoction pieces,but only 20 medical institutions(7.6%)had fully implemented such projects.Among the 101 medical institutions that had implemented reprocessing projects of traditional Chinese medicine decoction pieces,39 medical institutions(38.6%)had dedicated pharmacists responsible for the task;89 medical institutions(88.1%)had less than or equal to 20%of the pharmacists engaged in such projects;22 medical institutions(21.8%)had independent sites for on-demand herbal processing and preparation;75 medical institutions(74.3%)had established a reprocessing management system for prepared herbal slices;89 medical institutions(88.1%)had mechanisms for work records retention;only 49 medical institutions(48.5%)had implemented clinical efficacy evaluation and feedback tracing.Prescription-based processing of Chinese herbal pieces mainly involved pulverization,stir-frying and cutting,while the main formulations for clinical prescription processing were soft extract,powders and pilula.CONCLUSIONS:The reprocessing of traditional Chinese medicine decoction pieces covers prescription-based processing of Chinese herbal pieces and the processing of"one person and one prescription"clinical preparation.It is of great significance to promote the clinical differentiation and treatment of traditional Chinese medicine and give full play to the characteristics of traditional Chinese medicine to solve the current shortcomings rationally.关键词
中药饮片再加工/医疗机构/调研/临方炮制/临方制剂/质量控制Key words
Reprocessing of traditional Chinese medicine decoction pieces/Medical institutions/Investigations/Prescription-based processing of Chinese herbal pieces/Clinical prescription processing/Quality control分类
医药卫生引用本文复制引用
李茜,路瑶,王鑫鑫,丁晓晓,张丽娜,郭丹丹,郭桂明..264家医疗机构中药饮片再加工开展情况调研分析[J].中国医院用药评价与分析,2025,25(8):932-937,6.基金项目
国家中医药管理局监测统计中心深化医改中医药政策研究自选课题(No.YGZXKT2024033) （No.YGZXKT2024033）
2023年全国中药特色技术传承人才培训项目(No.国中医药人教函[2023]20号) （No.国中医药人教函[2023]20号）
第六批北京市级中医药专家学术经验继承工作资助项目(No.京中医科字[2022]79号) （No.京中医科字[2022]79号）
