摘要
目的研究中药炮制对临床合理用药的影响。方法将2017年1月—2019年9月85例接受药物治疗的患者分为两组,其中42例接受未经炮制的中药治疗,43例接受炮制后的中药治疗,前者视作A组,后者视作B组,比较两组用药合理性情况。结果 B组药师技能水平评价中药物知识、操作技能、药物质量、药物管理评分分别为(92.13±3.38)分、(90.45±4.19)分、(92.38±2.46)分、(91.82±3.07)分,均高于A组(82.46±5.61)分、(81.49±5.37)分、(86.43±4.17)分、(82.37±4.61)分(P<0.05);B组有毒中药成分、中药用量不当、辩证用药不当、中药煎煮不当、中药污染、中药配伍不当各不合理用药发生率分别为0.00%、2.33%、2.33%、2.33%、0.00%、2.33%,均低于A组9.52%、14.29%、14.29%、16.67%、9.52%、16.67%(χ^2=4.298、4.022、4.022、5.125、4.298、5.125,P<0.05);B组患者对用药治疗的满意度为93.02%,高于A组患者满意度76.19%(χ^2=4.617,P<0.05)。结论中药炮制后用于临床治疗中可减少不合理用药,提升临床合理用药率,保证药物治疗效果更好。
Objective To study the influence of traditional Chinese medicine processing on clinical rational use of medicines. Methods From January 2017 to September 2019, 85 patients who received medical treatment were divided into 2 groups. Among them, 42 patients received unprocessed Chinese medicine treatment and 43 received processed Chinese medicine treatment. The former was regarded as group A. The latter was regarded as group B, and the rationality of medication between the two groups was compared. Results The medical knowledge, operation skills, drug quality, and drug management scores of the pharmacist in group B were(92.13±3.38)points,(90.45±4.19)points,(92.38±2.46)points,(91.82±3.07)points, respectively, higher than those of group A(82.46 ±5.61)points,(81.49±5.37)points,(86.43±4.17)points,(82.37±4.61)points(P<0.05);group B had toxic Chinese medicine ingredients, improper dosage of Chinese medicine, the incidences of improper dialectical medication, improper decoction of traditional Chinese medicine, contamination of traditional Chinese medicine, and improper compatibility of traditional Chinese medicine were 0.00%, 2.33%, 2.33%, 2.33%, 0.00%, and 2.33%, all of which were lower than group A 9.52%, 14.29 %,14.29%, 16.67%, 9.52%, 16.67%(χ^2=4.298, 4.022, 4.022, 5.125, 4.298, 5.125, P <0.05);the satisfaction of group B patients with medication treatment was 93.02%, higher than group A The patient satisfaction was 76.19%(χ^2=4.617, P<0.05). Conclusion After processing traditional Chinese medicines in clinical treatment, it can reduce irrational use of drugs, increase the rate of clinical rational use of drugs, and ensure better effects of drug treatment.
作者
张婷婷
ZHANG Ting-ting(Department of Pharmacy,Lianyungang Affiliated Hospital,Nanjing University of Traditional Chinese Medicine,Lianyungang,Jiangsu Province,222004 China)
出处
《系统医学》
2020年第17期146-148,共3页
Systems Medicine
关键词
中药炮制
临床合理用药
影响
Traditional Chinese medicine processing
Clinical rational use of drugs
Impact
