医院中药饮片入库验收质量剖析及建议.docVIP

医院中药饮片入库验收质量剖析及建议 　　[摘要]目的 分析医院中药饮片入库验收的质量状况，提出建议以保证临床用药质量。方法 根据某院2016年1 月～2017年6月的中药饮片入库验收记录，归纳分析中药饮片质量验收不合格的原因。结果 验收中药饮片2623批次，其中不合格136批次，占总批次的5.18%；中药饮片质量不合格的主要原因为变质、掺伪掺杂、炮制不规范，占总不合格批次的52.94%。结论 针对某院中药饮片入库验收中发现的问题，建议采取加强中药饮片的采购管理、提高验收人员水平和规范中药饮片的炮制等措施，以保证临床用药质量。 　　[关键词]中药饮片；入库验收；质量分析；采购；炮制 　　[中图分类号] R288 [文献标识码] A [文章编号] 1674-4721（2018）4（c）-0131-04 　　Analysis and suggestions on quality of warehouse entry inspection of Chinese decoction pieces in a hospital 　　JIANG Ya-qin 　　Department of Pharmacy，Xiangtan Central Hospital of Xiangtan City in Hu′nan Province，Xiangtan 411100，China 　　[Abstract]Objective To put forward some suggestions to guarantee the quality of clinical medication by analyzing the quality of warehouse entry inspection of Chinese decoction pieces in a hospital.Methods According to the records of warehouse entry inspection of Chinese decoction pieces in a hospital from January 2016 to June 2017，the reasons for unqualified Chinese decoction pieces were summarized and analyzed.Results There were 2623 batches of Chinese decoction medicine checked and accepted in a hospital，of which 136 batches pieces were unqualified，accounting for batches of 5.18% of total acceptance.The reasons of unqualified Chinese decoction pieces mainly included deterioration， adulteration and non-standard processing，which accounted for 52.94% of total unqualified batches.Conclusion Some suggestions were put forward to guarantee the quality of clinical medication in view of the problems found in the warehouse entry inspection of Chinese decoction pieces in a hospital，which included to strengthen the purchasing management of Chinese decoction pieces，to improve the acceptance level of staff，and to standardize the processing of Chinese decoction pieces. 　　[Key words]Chinese decoction pieces；Warehouse entry inspection；Quality analysis；Purchase；Processing 　　中?是我国的传统药物，中药饮片广泛应用于中医临床。由于其来源复杂、产地广泛、加工炮制方法不同以及不法商人为追求经济利益而掺伪造假等原因，导致中药饮片质量良莠不齐。中药饮片的品种真伪和质量优劣将直接影响临床用药的安全性和有效性，而医院中药库房负