2013-2015年西南医科大学附属医院住院患者中药注射剂的使用情况分析

目的：分析西南医科大学附属医院中药注射剂使用情况，为临床合理用药提供参考。方法对西南医科大学附属医院2013—2015中药注射剂使用种类、销售金额、用药频度（DDDs）、日均费用（DDC）进行统计分析。结果中药注射剂的品种数稳中有降，从2013年的36种降至2015年的33种，而DDDs、销售金额、销售金额占药品总金额的比例逐年上升；中药注射剂销售金额排名前20位中多为活血祛瘀类，其次为抗肿瘤辅助用药和清热解毒类。中药注射剂 DDDs 排名前20位的品种与销售金额排名前20位的品种基本一致，主要涉及活血祛瘀类、抗肿瘤辅助用药和清热解毒类。抗肿瘤辅助用药普遍较治疗心脑血管疾病类中药注射剂的DDC高，但该类药物DDDs普遍较低，清热解毒类中药注射剂各品种DDC差距较大。结论西南医科大学附属医院中药注射剂的使用呈上升趋势，销售和使用同步性较好，价格适中且疗效确切的品种占有较大份额。

Analysis on usage of Traditional Chinese Medicine Injection by inpatients in Affiliated Hospital of Southwest Medical University from 2013 to 2015

Objective To analyze the usage of Traditional Chinese Medicine Injection by inpatients in Affiliated Hospital of Southwest Medical University from 2013 to 2015, so as to provide reference for clinical rational use of Traditional Chinese Medicine Injection. Methods The utilization of Traditional Chinese Medicine Injection in Affiliated Hospital of Southwest Medical University from 2013 to 2015 was analyzed in terms of species, consumption sum, defined daily dose system (DDDs), and daily drug cost (DDC). Results The species of Traditional Chinese Medicine Injection used in Affiliated Hospital of Southwest Medical University were decreased from 36 kinds in 2013 to 33 kinds in 2015, but the DDDs, drug consumption sum, and the cost ratio of Traditional Chinese Medicine Injection to the total drug consumption increased. The sale amounts of Traditional Chinese Medicine Injection in the top 20 were drugs for promoting blood circulation to remove blood stasis, followed by antineoplasti assistant drugs and drugs of cleanup heat detoxification. DDDs of Traditional Chinese Medicine Injection ranked the top 20 were basically in accord with the sale amounts of Traditional Chinese Medicine Injection in the top 20. DDC values of antineoplasti assistant drugs were higher than those of Traditional Chinese Medicine Injection treated for cardiovascular and cerebrovascular diseases, but their DDDs were generally lower. DDC values of drugs of cleanup heat detoxification had significant difference each other. Conclusion The application of Traditional Chinese Medicine Injection in Affiliated Hospital of Southwest Medical University shows an upward trend, and sales and usages present a good synchronism. Traditional Chinese Medicine Injection with suitable price and definite efficacy take up a large share in Affiliated Hospital of Southwest Medical University from 2013 to 2015.