2011—2015年江苏省中医院补虚类中药饮片应用分析

摘要：目的 通過对2011-2015年江苏省中医院补虚类中药饮片应用分析，为补虚类中药饮片临床合理使用及采购提供参考。方法 应用Excel2010软件对本院2011-2015年补虚类中药饮片的类别、用量、销售额等进行统计、分析。结果 本院2011-2015年补虚类中药饮片用量由526 434 kg增长至800 022 kg，年均增长率为11.09%；销售额由7215.17万元增长至12 506.63万元，年均增长率为20.20%；用量占比稳定在25.97%～27.03%。各亚类补虚类药中，补气药用量最大（44.64%～46.07%），其次为补阴药（20.63%～21.62%）、补血药（17.23%～18.93%）及补阳药（15.00%～15.17%）。2011-2015年用量居前5位的品种分别为黄芪、白术、白芍、山药、党参，而销售额始终居首位的是太子参。结论 本院补虚类中药饮片的用量及销售额逐年增加，但占中药饮片总用量与总金额的比例及用药结构较为稳定，其中补气药用量最大，符合临床用药规律。采购人员可根据此分析结果，有预见性地做好采购供应工作。

关键词：补虚药；中药饮片；用药分析

DOI：10.3969/j.issn.1005-5304.2017.07.031

中图分类号：R288 文献标识码：A 文章编号：1005-5304（2017）07-0121-04

Abstract： Objective To provide references for clinical rational use and purchase of TCM decoction pieces of tonifying deficiency medicine through analysis on TCM decoction pieces of tonifying deficiency medicine in Jiangsu Hospital of TCM during 2011–2015. Methods Excel 2010 software was used to analyze the categories， dosage and sales of the TCM decoction pieces of tonifying deficiency medicine in our hospital during 2011–2015. Results The dosage of TCM decoction pieces for tonifying deficiency medicine in our hospital during 2011–2015 increased from 526 434 kg to 800 022 kg， with annual growth rate of 11.09%； consumption sum increased from 72 151 700 yuan to 125 066 300 yuan， with annual growth rate of 20.20%； dosage rate was 25.97%–27.03%. Among subtypes of tonifying deficiency medicine， the quantity of medicine for tonifying qi was the largest （accounting for 44.64%–46.07%）， followed by medicine for tonifying yin （accounting for 20.63%–21.62%）， medicine for tonifying blood （accounting for 17.23%–18.93%）， and medicine for tonifying yang （accounting for 15.00%–15.17%）. Top 5 TCM decoction pieces for tonifying deficiency medicine in the list of annual quantity were Astragali Radix， Atractylodix Macrocephalae Rhizoma， Paeoniae Radix Alba， Dioscoreae Rhizoma， and Codonopsis Radix during 2011–2015. The top of TCM decoction pieces for tonifying deficiency medicine in the list of consumption sum was Pseudostellariae Radix during 2011–2015. Conclusion Both dosage and consumption sum of TCM decoction pieces for tonifying deficiency medicine in our hospital have increased year by year， but the ratio of the total quantity to total amount and medication structure keep stable. TCM decoction pieces for tonifying qi is the greatest in dosage， which is in line with rational clinical medication regularities. Purchasing staff can purchase medicine predictably according to the results.

Key words： tonifying deficiency medicine； TCM decoction pieces； analysis on medication

人体免疫力功能低下和脏器功能衰退既是疾病发生的基础，又是影响疾病发展的重要因素。补虚药能增强人体机能，提高机体的抗病能力，消除虚弱症候。根据功效及主治的差异，补虚类中药可分为补气药、补阴药、补血药和补阳药4类。笔者对江苏省中医院（以下简称“本院”）2011-2015年补虚类中药饮片的应用情况进行统计分析，为临床合理用药及相关采购提供参考。

1 资料与方法

所有数据来源于本院医院信息系统2011-2015年补虚类中药饮片的有效数据，包括品名、规格、出库数量和销售额等。……