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- Title
626张门急诊生天南星处方专项点评与分析.
- Authors
王坤; 杨铭; 周昕; 徐俐伟
- Abstract
OBJECTIVE: To investigate the application of unprocessed rhizoma arisaematis in outpatient and emergency departments in LongHua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine (hereinafter referred to as “our hospital”), so as to promote the quality of prescription and improve rational drug application. METHODS: 626 prescriptions applied with unprocessed rhizoma arisaematis from outpatient and emergency departments in out hospital from Sept. 1st, 2016 to Dec. 14th, 2017 were extracted, our self-designed prescription-analysis system-PA (software registration number: 2017SR012498) was adopted to review the prescriptions in terms of indications, usages and dosages, drug combinations, incidences of adverse drug reactions, matters need attention, etc. And the results were collected and analyzed to evaluate the rationality of drug application. RESULTS: As the "People’s Republic of China Pharmacopoeia" stipulates that the unprocessed rhizoma arisaematis was for external use and was should be careful for internal use, while all the 626 prescriptions were for internal use. A total of 131 patients were involved, mainly aged from 50 to 80, the number of male(80 cases) was more than female (51 cases); 14 clinical departments were involved, the top 5 ranked in the number of prescriptions were respectively the first oncology department, the third oncology department, Chinese and foreign experts department, encephalopathy department and the sixth surgery department; the TCM diagnoses mainly were cancers, accumulation disease, stone disease, rickets and stroke; the drug channel tropisms in combination with unprocessed rhizoma arisaematis were mainly heat-clearing drugs, followed by qi-invigorating drugs, blood-activating and stasis-removing drugs, the drug channel tropisms in liver was the most, followed by the spleen and lung; 91 prescriptions (14.54%) was lack of diagnoses and unclear description, 145 prescription (23.16%) with the application of unprocessed rhizoma arisaemalis was ^28 clays. CONCLUSIONS: There are irrational applications of unprocessed rhizoma arisaematis in outpatient and emergency departments in our hospita1.Unprocessed rhizoma arisaematis is a toxic Chinese medicine with a small sale dose range and is prone to poisoning. Therefore, the dosage should he strictly controlled, the time of administration should he limited, and the drug should he prevented from accumulating poisoning in the body.
- Publication
Evaluation & Analysis of Drug-Use in Hospitals of China, 2018, Vol 18, Issue 8, p1112
- ISSN
1672-2124
- Publication type
Article
- DOI
10.14009/j.issn.1672-2124.2018.08.035