探讨含罂粟壳强力枇杷露在门诊合理应用.docVIP

探讨含罂粟壳强力枇杷露在门诊合理应用 　　摘 要 目的：了解含罂粟壳成分的强力枇杷露在马陆镇社区卫生服务中心门诊的应用情况，为临床安全合理用药提供参考。方法：收集2017年1―6月马陆镇社区卫生服务中心门诊患者单用强力枇杷露的处方539??，对不同性别、年龄段的患者每日用药频次、每次剂量、日用量、总用量、使用天数及复诊用药情况等进行分析。结果：用药患者以50～89岁年龄段为主（90.17%），复诊患者113例，其中仅45例（39.82%）患者的用药方式符合说明书要求。结论：马陆镇社区卫生服务中心对强力枇杷露的使用基本合理，但仍存在用药剂量偏大、用药频次偏多等情况，中心应加强对含罂粟壳成分的中成药的监管。 　　关键词 强力枇杷露；罂粟壳；合理用药；门诊用药分析 　　中图分类号：R286 文献标志码：A 文章编号：1006-1533（2018）06-0010-02 　　The rational application of the Qiangli pipalu containing poppy shell in the outpatient department 　　ZHU Haizhen 　　（Malu Community Health Service Center of Jiading District， Shanghai 201801， China） 　　ABSTRACT Objective： To understand the application of Qiangli pipalu with poppy shell composition in Outpatient Clinic of Malu Community Health Service Center to provide the reference for clinical safety and rational use of drugs. Methods： A total of 539 prescriptions for Qiangli pipalu alone were collected in the Outpatient Clinic of Malu Community Health Service Center from January to June in 2017， and the daily drug use frequency， each dose， daily dosage， total dosage， days of use and use of drug in subsequent visits for patients with different sex and age were analyzed. Results： The majority of the patients were the age group of 50～89 years old（90.17%）. The number of subsequent visit patients was 113， and only 45（39.82%） patients were in accordance with the requirements of the instructions. Conclusion： The use of Qiangli pipalu in Malu Community Health Service Center is basically reasonable； however， there are still large doses of drugs and more frequent use. The center should strengthen the supervision of Chinese patent medicines containing the components of the Opium poppy shell. 　　KEY WORDS Qiangli pipalu； Opium poppy shell； rational drug use； outpatient medication analysis 　　罂粟壳作为《中国药典》记载的品种，是中成药生产的原料，在很多中成药里都有应用，尤其是镇咳类的药物。罂粟壳被归类为麻醉药品和毒性药品，也是麻醉药品管理品种中唯一的中药饮片[1-2]，强力枇杷露即是含罂粟壳成分的中成药。以往以罂粟壳为主题的论文较多，但未见含罂粟壳中成药的文献报道。本文旨在通过分析强力枇杷露在社区卫生服务中心的使用，了解含罂粟壳中成药的用药现状，以期为临床使用含罂粟壳的中成药提供参考。