中药"十八反"基层医院应用现状调查

调查基层医院应用中药十八反的现状.检索某县级中医院及9所乡镇卫生院2008-2011年的处方78 238首,对其中含十八反药对的处方进行统计分析.结果表明共发现含十八反药对的处方255首,其中乌头组198首,甘草组57首,藜芦组0首,以附子半夏应用最多,并出现多组反药同用的情况,临床医生对十八反问题多持回避态度.中药十八反在基层医院的应用是客观存在的,并非绝对的禁总.

Research on Application Status of Eighteen Incompatible Medicaments in Primary Hospital

To investigate application status of eighteen incompatible medicaments in primary hospital. We searched 78,238 recipes originated from a county hospital of traditional Chinese medicine and 9 health clinics in towns and townships between 2008 and 2011.All recipes containing eighteen incompatible medicaments were statistically analyzed. Two handred and fifty-five recipes containing eighteen incompatible medicaments were found. There were 198 recipes in aconite group and 57 recipes in radix glycyrrhizae group. No recipe in veratrinigri group was found. Radix Aconiti Lateralis preparata in combination with Rhizoma Pinelliae was the most common formula of all eighteen incompatible medicaments. Most clinicians hold a negative attitude to application of eighteen incompatible medicaments. Application of eighteen incompatible medicaments in primary hospital is objectively existent, and it is not absolutely contraindicated.