摘要
目的对南京市中医院浦口分院2020年度膏方进行系统的整理和归纳,找寻用药的规律和特点,加强医师用药合理性,为医院临床合理使用膏方提供依据。方法采用回顾研究方法,对冬季的317张膏方处方按照年龄、性别、中医诊断、中药味数、胶类辅料使用、电话回访用药反馈进行统计分析。结果开具的冬季膏方中,女性占总人数的59.93%,为190例,男性127例(40.07%),其中服药的以中老年患者为多,年龄跨度较大,从3~92岁,患者主要为虚劳、脾胃疾病及内科肿瘤等疾病为主。方中使用频次最多的为黄芪、白术、熟地等滋补类中药,收膏辅料为胶类、大枣、蜂蜜、冰糖等,糖尿病患者以木糖醇为甜味剂替代品。经电话回访患者,发现有服用膏方的不良反应出现,主要是上火和胃肠不适。结论随着冬季服用膏方的人群增加,膏方量也会不断增长,我院应重视提高膏方处方质量、加强患者回访、合理用药、提高饮片质量,避免不良反应的发生,为今后更好推进膏方工作提供依据,促进冬季膏方良性发展。
Objective To systematically sort out and summarize ointment prescriptions in Nanjing Pukou District Hospital of Chinese Medicine in 2020,find the rules and characteristics of medication,strengthen the rationality of physicians'medication,and provide a basis for the rational use of ointment prescriptions in Nanjing Pukou District Traditional Chinese Medicine Hospital.Methods Using the retrospective research method,317 ointment prescriptions in Nanjing Pukou District Hospital of Chinese Medicine in the winter of 2020 were statistically analyzed according to age,gender,TCM diagnosis,number of flavors of traditional Chinese medicine,use of glue excipients,and medication feedback during telephone follow-up visits.Results Among the winter cream prescriptions prescribed,women accounted for 59.93%of the total number,190 cases,and 127 cases(40.07%)were men.Most of them were middle-aged and elderly patients,with a large age span,ranging from 3 to 92 years old.Mainly for consumptive diseases,spleen and stomach diseases and medical tumors and other diseases.The most frequently used traditional Chinese medicines are nourishing traditional Chinese medicines such as Astragalus membranaceus,Atractylodes macrocephala,Rehmannia glutinosa,etc.,and the excipients for the ointment are gum,jujube,honey,rock sugar,etc.,and the diabetic patients use xylitol as a sweetener substitute.After returning to the patient by telephone,it was found that there were adverse reactions to taking the ointment,mainly anger and gastrointestinal discomfort.Conclusion With the increase in the number of people taking ointment in winter,the amount of ointment will continue to increase.Our hospital should pay attention to improving the quality of ointment prescriptions,strengthening patient return visits,rationalizing drug use,improving the quality of decoction pieces,and avoiding the occurrence of adverse reactions,so as to better promote the future.The ointment work provides a basis for promoting the healthy development of winter ointment.
作者
杲东
钱海燕
赵琦
Gao Dong;Qian HaiYan;Zhao Qi(Nanjing Pukou District Hospital of Chinese Medicine,Nanjing Jiangsu China 211800;Jiangsu Provincial Second Hospital of Traditional Chinese Medicine,Nanjing Jiangsu China 210000)
出处
《哈尔滨医药》
2024年第5期116-120,共5页
Harbin Medical Journal
关键词
膏方
合理用药
统计分析
不良反应
paste prescription
rational drug use
statistical analysis
adverse reactions
