CAJ | 학술논문

目的：分析2010—2014年天津中医药大学附属第二医院中药注射剂的使用情况，为促进临床合理用药提供依据。方法回顾性调查天津中医药大学附属第二医院2010—2014年中药注射剂的使用情况，计算药品的销售金额、用药频度（DDDs）、日均费用（DDC）及销售金额排序（B）和DDDs排序（A）的比值（B/A）。结果2010—2014年，中药注射剂品种构成相对稳定，以心脑血管类为主；心脑血管类与清热解毒类中药注射剂构成了DDDs与销售金额排名的前10位，单品种用药金额与DDDs排序变化较大；在DDDs排名前10位的药品中，大部分品种的DDC在100元以上；大多数中药注射剂品种的B/A接近1，用药同步性较好。结论天津中医药大学附属第二医院中药注射剂的应用基本合理，但患者经济负担较重，应注意加强管理。
목적：분석2010—2014년천진중의약대학부속제이의원중약주사제적사용정황，위촉진림상합리용약제공의거。방법회고성조사천진중의약대학부속제이의원2010—2014년중약주사제적사용정황，계산약품적소수금액、용약빈도（DDDs）、일균비용（DDC）급소수금액배서（B）화DDDs배서（A）적비치（B/A）。결과2010—2014년，중약주사제품충구성상대은정，이심뇌혈관류위주；심뇌혈관류여청열해독류중약주사제구성료DDDs여소수금액배명적전10위，단품충용약금액여DDDs배서변화교대；재DDDs배명전10위적약품중，대부분품충적DDC재100원이상；대다수중약주사제품충적B/A접근1，용약동보성교호。결론천진중의약대학부속제이의원중약주사제적응용기본합리，단환자경제부담교중，응주의가강관리。
Objective To analyze the utilization of traditional Chinese medicine (TCM) injections in Second Affiliated Hospital of Tianjin University of TCM from 2010 to 2014, in order to provide reference for clinical rational use of drugs.Methods Retrospective investigation method was used. The consumption sum, daily defined doses (DDDs), average daily cost (DDC), and the ratio (B/A) of sequence of consumption sum (B) and sequence of DDDs in Second Affiliated Hospital of Tianjin University of TCM from 2010 to 2014 were analyzed statistically.Results From 2010 to 2014, species composition of TCM injections were relatively stable, and mainly were cardiovascular and cerebrovascular. DDDs and consumption sum of top 10 TCM injections were comprised with cardiovascular and cerebrovascular and antipyretic and antidotal TCM injections. Sortings of DDDs and consumption sum had not great changes. In DDDs of top 10 TCM injections, DDC of most TCM injections were above 100 RMB. B/A values of most TCM injections were almost 1. The synchronicity was better.Conclusion The application of TCM injections in Second Affiliated Hospital of Tianjin University of TCM is basically rational. However, economic burden of patients is heavy, which needs further efforts to strengthen the management.