摘要
目的:了解《国家基本药物临床应用指南(2018版)》中孕妇禁用中成药的情况,为进一步完善基本药物目录品种及促进临床合理用药提供参考。方法:对《国家基本药物临床应用指南(2018版)》含孕妇禁用中成药的收载情况进行汇总和分析。结果:书中共收载孕妇禁用中成药112种,其中内科、外科、妇科、眼科、耳鼻喉科、骨伤科类分别有64、12、14、2、5、15种;含土鳖虫成药10种(占8.92%);含麝香(人工麝香)成药8种(占7.14%);含朱砂、雄黄成药7种(占6.25%);含附子、制川乌、制草乌成药5种(占4.46%);含马钱子、细辛成药9种(8.04%);含罂粟壳成药2种(占1.79%);其他饮片成药71种(65.19%);按剂型分类注射剂、口服剂、外用剂、其他剂型分别有5、98、8、1种。结论:孕妇禁用中成药品种、剂型分布合理,但存在剂量、标注不规范等问题,仍需进一步完善。研究结果可为下一步整理其他特殊人群用药提供借鉴,为临床合理用药提供更加准确的理论指导。
Objective:To analyze the prohibition of traditional Chinese patent medicines and simple preparations for pregnant women in the National Guidelines for Clinical Application of Essential medicines(2018 Edition),so as to provide reference for further improving the categories of Essential medicines and promoting rational clinical application.Methods:The collection and analysis of the National Guidelines for Clinical Application of Essential medicines(2018 Edition) including the prohibition of traditional Chinese patent medicines and simple preparations for pregnant women were carried out.Results:112 kinds of traditional Chinese patent medicines and simple preparations forbidden for pregnant women in the book,and 64,12,14,2,5,15 kinds of medicine were forbidden for internal medicine,surgery,gynecology,ophthalmology,otorhinolaryngology,and orthopedics and traumatology respectively;10 kinds of patent medicine containing eupolyphaga(accounting for 8.92%);8 kinds of patent medicine containing musk(artificial musk)(accounting for 7.14%);7 kinds of patent medicine containing cinnabar and realgar(accounting for 6.25%);5 kinds of patent medicine containing aconite,Sichuan aconite,and grass aconite(accounting for 4.46%);9 kinds of patent medicine containing strychnos nux-vomica and asarum(accounting for 8.04%);2 kinds of patent medicine containing poppy shells(accounting for 1.79%);71 kinds of other decoction pieces medicinal pieces(accounting for 65.19%);5,98,8 and 1 kinds of injection,oral,topical,and other dosage forms classified by dosage form.Conclusion:The varieties and dosage forms of traditional Chinese patent medicines and simple preparations forbidden by pregnant women are reasonably distributed,but there are some problems such as non-standard dosage and labeling,which still need to be further improved to provide reference for the next step in sorting out the use of drugs by other special groups,and provide more accurate theoretical guidance for clinical rational use of drugs.
作者
王娇
马彦江
刘前进
Wang Jiao;Ma Yanjiang;Liu Qianjin(Department of Pharmacy,Zhumadian Traditional Chinese Medicine Hospital,Zhumadian 463000,China;Department of Pharmacy,The First Hospital Affiliated to Henan University of Chinese Medicine,Zhengzhou 450000,China)
出处
《亚太传统医药》
2024年第6期243-246,共4页
Asia-Pacific Traditional Medicine
基金
河南省中医药科学研究专项(2019ZY2137)。
关键词
2018版《国家基本药物临床应用指南》
孕妇禁用
中成药
合理用药
National Guidelines for Clinical Application of Essential Medicines(2018 Edition)
Forbidden for Pregnant Women
Chinese Patent Medicines
Rational Use of Drugs
