2012-2016年西安市第一医院中药注射剂的使用情况分析

目的 分析2012—2016年西安市第一医院中药注射剂的使用情况,为医院管理该类药品和临床合理用药提供参考.方法 收集西安市第一医院2012—2016年中药注射剂的相关数据,对品种、销售金额、用药频度(DDDs)、限定日费用(DDC)和药物利用指数(DUI)进行统计分析.结果 中药注射剂销售金额整体呈逐年上升的趋势,2014年增幅最大.活血化瘀类中药注射剂的使用金额和DDDs均居首位;抗癌类有上升趋势,但增幅较小,品种数和销售金额相对稳定;补益类5年来销售金额呈逐年增加的趋势;清热类销售金额和占比均较低.注射用丹参多酚酸盐100 mg有3年销售金额均居于首位,一直位于前10的品种有丹红注射液、疏血通注射液和注射用血栓通.注射用血栓通150 mg、注射用丹参多酚酸盐100 mg、大株红景天注射液和注射用益气复脉的DDDs呈逐年增加的趋势;注射用益气复脉的DDC值最高,为374元,注射用血塞通的DDC最低,为49元.中药注射剂单品种的DUI接近1的品种少.结论 西安市第一医院2012—2016年中药注射剂的使用越来越广泛,用药基本合理,但应在以后的临床使用中严格辨证施治,以降低中药注射剂的不良反应,共同促进合理用药.

Analysis on usage of traditional Chinese medicine injection in Xi'an No. 1 Hospital from 2012 to 2016

Objective To analyze the utilization of traditional Chinese medicine (TCM) injection in Xi''an No. 1 Hospital from 2012 to 2016, so as to provide references for clinical rational use of drugs in hospital management. Methods The data of TCM injection in Xi''an No. 1 Hospital from 2012 to 2016 was collected, and drug category, consumption sums, average daily cost (DDC), defined daily dose system (DDDs), and drug utilization index (DUI) were analyzed statistically. Results Consumption sum of TCM injection increased year by year with the largest increase in 2014. Consumption sum and DDDs of blood-quickening and stasis-dispelling TCM injection were in the first place. The anti-tumor TCM injection had an upward trend with a smaller increase, and the number of varieties and consumption sum were relatively stable. Consumption sum of tonic TCM injection had a trend of increasing year by year during five years. Consumption sum and proportion of TCM injection for relieving heat was lower. Consumption sum of Salvianolate for injection (100 mg) ranked the top in three years. Consumption sum of Danhong Injection, Shuxuetong Injection, and Xueshuantong for injection ranked the top 10. DDDs of Xueshuantong for injection (150 mg), Salvianolate for injection (100 mg), Sofren Injection, and Yiqi Fumai for injection increased year by year. DDC of Yiqi Fumai for injection was the highest with 374. DDC of Xuesaitong for injection was the lowest with 49. Three were less special TCM injection with DUI near to 1. Conclusion TCM injection is widely used in Xi''an No. 1 Hospital from 2012 to 2016, and the utilization is basically reasonable, but the clinical application should be strictly diagnosed and treatment based on an overall analysis of the illness and the patient''s condition, in order to reduce the adverse reaction, and promote rational use of drugs.