“评分分类法”的建立及在中药注射剂功能主治评价中的应用

Establishment of “Scoring Classification Method” and Its Application in the Evaluation of Function and Indications of Traditional Chinese Medicine Injections

关键词:  评分分类法  中药注射剂  说明书  功能主治

Key words:  scoring classification method  traditional Chinese medicine injection  specification  functions of curing

摘要:

目的 分类讨论中药注射剂功能主治的临床应用，为合理选择中药注射剂提供参考。方法 建立“评分分类法”，分别从影响中药注射剂功能主治选择的8个方面对53种中药注射剂进行评分，分类探讨其功能主治在临床具体选用时存在的问题。结果 53种中药注射剂通过“评分分类”，分值统计在分别为-2分、-1分、0分、2分、3分、4分、5分、6分、7分组，无一中药注射剂有全部加分。其中4分组15个药，数量最多，占比28.30%；<4分的有22个药，占比41.51%；>4分的有16个药，占比30.19%。<0分(包括0分)有5个药；最高评分是7分，有3个药。结论 中药注射剂说明书上缺乏完整的处方规则说明与现代研究，标注项对临床合理选药的指导尚缺乏一定的内容。

Abstract:

OBJECTIVE To discuss the clinical application of the function and indications of traditional Chinese medicine injection and to provide reference for rational selection of traditional Chinese medicine injections. METHODS A “scoring classification method” was established to score 53 kinds of traditional Chinese medicine injections in the medical insurance from 8 aspects affecting the selection of indicators. To explore the problems in the specific clinical selection of their functions and indications. RESULTS Fifty-third kinds of traditional Chinese medicine injections were classified according to the “score classification”, and the score statistics were -2 points, -1 points, 0 points, 2 points, 3 points, 4 points, 5 points, 6 points and 7 points respectively. None of the traditional Chinese medicine injections had all the extra points. Among them, there were 4 groups of 15 drugs, with the largest number accounting for 28.30%. There were 22 drugs with a score less than 4, accounting for 41.51%. There were 16 drugs with scores greater than 4, accounting for 30.19%. Five drugs with a score below 0(including 0 points). The highest score was 7, and there were three drugs. CONCLUSION There is a lack of complete prescription rules and modern research on the instructions of traditional Chinese medicine injections, and there is still a lack of content for the guidance of labeling items on clinical rational drug selection.