心血管疾病治疗中的中药注射剂处方点评与案例分析.pdfVIP

中国药物应用与监测 2013 年12月第10卷第6 期 Chinese Journal of Drug Application and Monitoring, Vol.10, No.6, December 2013 心血管疾病治疗中的中药注射剂处方点评与案例分析 谢牧牧，王东晓，陈孟莉（解放军总医院药品保障中心，北京100853 ） [摘要]　目的：对心血管疾病治疗方案中的不合理中药注射剂处方进行点评与分析，为临床合理用药提供参考。方法：根据 药品说明书和《中药注射剂临床使用基本原则》的要求，对5 例典型的中药注射剂处方进行点评与解析。结果：在治疗心血管 疾病过程中，中药注射剂不合理使用的问题主要集中在配伍禁忌、溶媒不适宜和适应证不适宜等方面。结论：药师应加强对 中药注射剂的审核点评，同时采取积极有效的干预措施，以促使中药注射剂在治疗心血管疾病方面的应用更加安全、合理、 有效。 [关键词]　处方点评；中药注射剂；心血管疾病；合理用药 [ 中图分类号]　R969.3 [ 文献标识码]　A　 [ 文章编号]　1672 – 8157(2013)06 – 0333 – 02 Prescription review on traditional Chinese medicine injection used in the treatment of cardiovascular diseases XIE Mu-mu, WANG Dong-xiao, CHEN Meng-li(Department of Pharmaceutical Care, PLA General Hospital, Beijing 100853, China) [ABSTRACT]　Objective: To review irrational prescriptions of traditional Chinese medicine injection in the treatment of cardiovascular diseases, and provide reference for rational drug use. Methods: Five prescriptions of traditional Chinese medicine injection were reviewed and analyzed according to drug instructions and Basic Principles of Clinical Use of Traditional Chinese Medicine Injection . Results: The irrational uses of traditional Chinese medicine injection in the treatment of cardiovascular diseases were as follows: incompatibility, inaptitude solvent, inaptitude indication, etc. Conclusion: Pharmacists should enhance the prescription examination of traditional Chinese medicine injection and provide effective intervention in order to promote the safe, rational and effective use of traditional Chinese medicine injection for cardiovascular diseases. [KEY WORDS]　Prescription review; Traditional Chinese medicine injection; Cardiovascular diseases; Rational use of drug 中药注射剂是指以中医药理论为指导，采用现代 点评分析，以期为临床合理使用中药注射剂提供参考。 科学技术和方法，从中药或天然药物的单方或复方中 1　处方内容示例 提取的有效物质制成的无菌溶液、混悬液或临用前配 处方1 ：患者，男性，82 岁，临床诊