关键词:

儿科, 口服, 中成药, 现状, 处方用药

Abstract:

Objective　To explore the current situation of pediatric oral Chinese patent medicine and analyze its prescription medication. Methods　A total of 300 pediatric oral Chinese patent medicine prescriptions screened by the hospital information system of Songjiang Hospital Affiliated to Shanghai Jiao Tong University School of Medicine (Preparatory Stage) from January 2022 to December 2022 were selected for the research. There were 168 boys and 132 girls, aged ≤12 years old. The dosage form, age distribution, combined use, action category, and unreasonable prescription composition were analyzed. Results　Among the 300 prescriptions in this study, the proportion of granules was the highest [51.77% (322/622)], followed by oral liquid [31.35% (195/622)] and tablets [9.00% (56/622)], and the proportion of capsules was the lowest [7.72% (48/622)]. The proportion of >1 - ≤3 years old group was the highest [29.00% (87/300)], followed by ≤1 year old group [14.67% (44/300)], >3 - ≤6 years old group [27.67% (83/300)], >6 - ≤9 years old group [13.67% (41/300)], and >9 - ≤12 years old group [15.00% (45/300)]. Among the combined medication, the proportion of double combinations was the highest [37.33% (112/300)], followed by single drug [30.67% (92/300)], triple combinations [26.00% (78/300)], and quadruple combinations or more [6.00% (18/300)]. Among the action categories, clearing heat and detoxifying accounted for the highest proportion [37.94% (236/622)], followed by dispelling wind and relieving exterior [26.69% (166/622)], relieving cough, resolving phlegm and relieving asthma [20.10% (125/622)], and regulating spleen and stomach [10.45% (65/622)]. The proportion of irrational prescriptions was 2.00% (6/300) of inappropriate indications, 1.33% (4/300) of inappropriate usage and dosage, 1.00% (3/300) of repeated medication, and 0.67% (2/300) of incompatibility. Conclusions　In pediatric oral Chinese patent medicine prescriptions, there are some unreasonable phenomena such as unreasonable combination of Chinese patent medicine prescriptions. The hospitals need to strengthen the management of the use of oral Chinese patent medicines to ensure the medication safety.

Key words:

Pediatrics, Oral administration, Chinese patent medicine, Current situation, Prescription medication