摘要
目的:分析2015—2017年川北医学院附属医院口服类抗肿瘤中成药的临床使用情况,为口服类抗肿瘤中成药的临床合理、经济使用提供参考,降低肿瘤患者的药物治疗费用。方法:采用回顾性分析的方法,以适应证、用药频度(DDDs)、日均费用(DDC)、销售金额等为参数,分析2015—2017年川北医学院附属医院口服类抗肿瘤中成药的临床使用情况。结果:2015—2017年,川北医学院附属医院口服类抗肿瘤中成药华蟾素片与华蟾素胶囊销售金额连续3年居一、二名,肝复乐胶囊销售金额增长速度最快,其用药频度(DDDs)也快速上升至第一,有4个药品的日均费用(DDC)出现不同程度下降。结论:川北医学院附属医院口服类抗肿瘤中成药临床应用基本合理,但也存在高售价抗肿瘤中成药临床用量大、用药日均费用高、超说明书用药等问题,需要医院采取药学及行政干预措施,保障肿瘤患者用药安全,减轻患者经济负担。
Objective:To analyze the clinical use of oral antineoplastic Chinese patent medicines in The Affiliated Hospital of North Sichuan Medical College from 2015 to 2017,so as to provide reference for rational and economical use of oral antineoplastic Chinese patent medicines and reduce the cost of drug treatment for cancer patients.Methods:A retrospective analysis was conducted to analyze the clinical use of oral antineoplastic Chinese patent medicines in The Affiliated Hospital of North Sichuan Medical College from 2015 to 2017,taking indications,DDDs,DDC and sales amount as parameters.Results:From 2015 to 2017,the sales amount of Huachansu Tablets(华蟾素片)and Huachansu Capsules(华蟾素胶囊)were the first or the second in three consecutive years in the hospital,the sales amount of Ganfule Capsules(肝复乐胶囊)was growing fastest and its DDDs was gradually rising to the first,the DDC of 4 drugs was decreased at different degree.Conclusion:The clinical application of oral antineoplastic Chinese patent medicines is basically reasonable,but there are also problems of high priced antineoplastic Chinese patent medicine has large amount of consumption,high average daily cost,off-label drug use and so on,it is necessary for the hospital to take pharmaceutical and administrative intervention measures to guarantee the safety of drug use and reduce the financial burden of tumor patients.
作者
陈光华
舒波
CHEN Guang-hua;SHU Bo(The Affiliated Hospital of North Sichuan Medical College,Nanchong Sichuan 637000,China)
出处
《中医药导报》
2019年第16期48-51,共4页
Guiding Journal of Traditional Chinese Medicine and Pharmacy
基金
四川省重点实验室开放基金项目(2015GTJ005)
川北医学院附属医院院内青年基金项目(川北医附院字{2016}163号-051)
关键词
口服类抗肿瘤中成药
适应证
用药频度
日均费用
销售金额
超说明书用药
肿瘤患者
经济负担
oral antineoplastic Chinese patent medicines
indication
defined daily doses
defined daily consumption
sales amount
off-label drug use
tumor patients
financial burden
