CAJ | 학술논문

目的：评估医院骨科住院患者中活血化瘀中药注射剂的使用情况，为临床合理用药提供参考。方法调查2012年6月骨科201例住院患者病历，对其中活血化瘀中药注射剂的使用率、使用金额、疗程、配伍输液、联合用药等情况进行统计和分析。结果128份病历使用了活血化瘀中药注射剂，使用率为63.68%，用药时间平均8.2 d，不合理应用的占48.44%，注射用血塞通、注射用红花黄色素、苦碟子注射液、丹红注射液使用金额、数量、用药频度(DDDs)排名均处于活血化瘀中药注射剂前几位。结论应加强骨科住院患者活血化瘀中药注射剂使用的培训和监管，严格执行《中药注射剂临床使用原则》及药品说明书的规定，规范、合理用药。
목적：평고의원골과주원환자중활혈화어중약주사제적사용정황，위림상합리용약제공삼고。방법조사2012년6월골과201례주원환자병력，대기중활혈화어중약주사제적사용솔、사용금액、료정、배오수액、연합용약등정황진행통계화분석。결과128빈병력사용료활혈화어중약주사제，사용솔위63.68%，용약시간평균8.2 d，불합리응용적점48.44%，주사용혈새통、주사용홍화황색소、고설자주사액、단홍주사액사용금액、수량、용약빈도(DDDs)배명균처우활혈화어중약주사제전궤위。결론응가강골과주원환자활혈화어중약주사제사용적배훈화감관，엄격집행《중약주사제림상사용원칙》급약품설명서적규정，규범、합리용약。
Objective To analyze the use situation of the traditional Chinese medicine injections for promoting blood circulation and re-moving stasis in the orthopedic department to provide reference for clinical rational drug use. Methods The medical records of 201 or-thopedic inpatients in June 2012 were investigated,in which the use rate,amount of money,treatment course,compatibility infusion,com-bined medication were statistically analyzed. Results 128 cases used the traditional Chinese medicine injections for promoting blood cir-culation and removing stasis with the use rate of 63. 68% ,the average use time was 8. 2 d,the unreasonable use accounted for 48. 44% ,Xuesaitong Injection,Safflower Yellow Injection,Kudiezi Injection and Danhong Injection ranked the top places of the tradition-al Chinese medicine injections for promoting blood circulation and removing stasis in the amount of money,quantity and DDDs. Conclusion The training and supervision in the use of the traditional Chinese medicine injections for promoting blood circulation and removing stasis in the orthopedic department should be strengthened,the principle of traditional Chinese medicine injections in clin-ical use and the stipulations and specifications in the package insert should be strictly executed for conducting ration drug use.