摘要
通过调查北京市医疗机构中药房调剂情况,对部分品种饮片处方名称、斗谱名称、饮片实物三者不相符合的现象进行原因分析与探讨。实地调查北京市30家医疗机构的饮片调剂状况,发现中药饮片处方中品种调剂混乱的情形可归为五类:名称相似,药典中是两种中药饮片的品种;性状相近,药典中是两种中药饮片的品种;药典中同种饮片不同来源的品种;中药饮片的处方应付要求;饮片名称书写不准确。建议应当规范处方和斗谱名称的命名、合理摆放斗柜、科学编码、严格校对、提升调剂人员专业水准、定期执行检查,从而保障中药饮片调剂准确、避免混淆,确保临床用药安全有效。
By investigating the common deviation of Chinese drugs dispensing in 30 Chinese medicine pharmacies in Beijing,we analysed the existent problems in the easy confuse varieties of traditional Chinese medicine Yinpian,and discussed the reason of inconsistent for the Chinese drugs dispensing,included the herb prescription names inconsistent,the herb cabinet names inconsistent and herbs material inconsistent.We selected 30 Chinese medicine pharmacies in Beijing and conducted field visits to investigate the status of the Chinese drugs dispensing.We classified the common deviation of Chinese drugs dispensing into five categories:①Different two varieties in the Chinese Pharmacopoeia with similar names;②Different two varieties in the Chinese Pharmacopoeia with similar traits;③Same variety in the Chinese Pharmacopoeia with different botanical source;④The dispensing specified varieties of traditional Chinese medicine Yinpian;⑤The medicine name written incorrectly.It is suggested that the naming of prescription and cabinet should be standardized,reasonable placement of bucket cabinet,scientific code,strict proofreading,improve the professional level of coordination personnel,check regularly.To ensure the accuracy of the dispensing of Chinese herbal pieces,avoid confusion,and ensure the safety and effectiveness of clinical medication.
作者
金敏
孟欣桐
田玥
杨琦
潘洋
Jin Min;Meng Xintong;Tian Yue;Yang Qi;Pang Yang(Beijing Hospital of Integrated Traditional Chinese and Western Medicine,Beijing 100039,China;Aerospace Center Hospital,Beijing 100039,China)
出处
《亚太传统医药》
2020年第12期217-220,共4页
Asia-Pacific Traditional Medicine
关键词
中药饮片
处方斗谱实物三者不符
原因分析
Traditional Chinese Medicine Yinpian
The Herb Prescription,Cabinet,Material are Inconsistent
Cause Analysis