目的 分析煤炭總醫(yī)院兒科口服中成藥的用藥特點與趨勢,為臨床合理用藥提供依據(jù)。方法 采用回顧性方法,對煤炭總醫(yī)院2014年兒科使用中成藥的銷售金額、品種、劑型、劑量、用藥頻度(DDDs)和日均費用(DDC)等數(shù)據(jù)匯總分析。結果 兒科用中成藥有42種,品種應用較多的有解表劑、化痰止咳平喘劑、消導劑和清熱劑;劑型方面顯示顆粒劑、口服液和糖漿劑更適宜兒童服用。有11種注明兒童分段使用劑量,僅占總數(shù)的26.2%;小兒熱速清顆粒的銷售金額和DDDs均列第1位,DDC除小兒豉翹清熱顆粒超過20元外,其余單價均低于15元;辨證不足(不當)和用法用量不當是兒科口服中成藥不合理應用的主要原因。結論 煤炭總醫(yī)院兒科口服中成藥使用情況基本合理,可滿足兒科疾病需要,建議適當引進兒科專屬品種,充分發(fā)揮臨床藥師在合理應用中的作用,保障兒童用藥安全。

Objective To analyze the characteristics and tendency of oral Chinese patent medicines (CPM) in Department of Pediatrics of China Meitan General Hospital, and to provide the basis for clinical rational use. Methods Using the retrospective method, the use of the amount, variety, dosage, defined daily doses (DDDs), and daily drug cost (DDC) in Department of Pediatrics of a hospital in 2014 were analyzed. Results There were 42 kinds of CPM. Diaphoretic recipes, expectorant antitussive antiasthmetics, discutient recipes, and heat-clearing prescriptions were widely used. The dosage forms of granules, oral liquid, and syrup were more easily accepted by children. There were only 11 kinds of CPM with marked dosage in ages, accounting for 26.2%. Consumption sum and DDDs of Xiaoer Resuqing Granules ranked the first. DDC of Xiaoer Chiqiao Qingre Granules were above 20 yuan, and the others were lower than 15 yuan. The main reasons for the unreasonable application in oral CPM were lack of differentiation (improper), and unreasonable usage and dosage. Conclusion The usage of oral CPM in Department of Pediatrics of China Meitan General Hospital is basically reasonable, which meets the needs of pediatric diseases. The special varieties of pediatric should be introduced, and clinical pharmacists should play the role in the reasonable application, to protect children's medication safety.