作　　者： (马红）; (王劲松）; (乔溪莹）;

机构地区： 北京中医药大学附属护国寺中医医院,北京100035

出　　处： 《中国药房》 2017年第24期3337-3341,共5页

摘　　要： 目的:为促进中药饮片合理使用提供参考。方法:以《北京市中药饮片调剂规程》为依据,分层随机抽取我院("三甲"中医专科医院)部分医师,就其对黄芩、当归、贝母、黄柏、附子、杜仲、大枣、大黄8种常用中药饮片处方应付的认知情况进行问卷调查,并就调查数据进行统计和分析。结果:共发放问卷81份,回收有效问卷81份,有效回收率为100%。职称方面,受访副主任医师对常用中药饮片处方应付的认知平均错误率(27.5%)低于受访医师(35.8%)和主治医师(37.0%),受访副主任医师对贝母、杜仲认知错误率较高;受访医师和主治医师均对杜仲认知错误率最高。工作年限方面,不同工作年限受访医师对常用中药饮片处方应付的认知平均错误率(31.3%～38.8%)差别不大,各工作年限受访医师均对黄柏、杜仲认知错误率较高。专业方向方面,西医内科受访医师对常用中药饮片处方应付的认知平均错误率(43.8%)相对高于中医内科(36.8%)、中医骨伤(31.8%)、针灸(36.5%)等专业方向受访医师,各专业方向受访医师均对杜仲认知错误率较高。受访医师对8种中药饮片处方应付的认知总体错误率由高到低依次为杜仲、黄柏、贝母、大黄、黄芩、附子、大枣、当归。结论:"三甲"中医专科医院中不同职称、不同工作年限、不同专业方向医师对8种常用中药饮片处方应付的认知均存在不同程度的欠缺,对杜仲总体认知情况最差。 OBJECTIVE ： To provide reference to promote the proper use of TCM decoction pieces. METHODS： According to Beijing TCM Decoction Piece Dispensing Regulation, stratified random sampling method was adopted to select a group of physi- cians in our hospital and conduct questionnaire survey about their knowledge of the prescription handling of 8 commonly used TCM decoction pieces including Scutellaria baicalensis, Angelica sinensis, Fritillary, Phellodendron chinense, Aconitum carmichaeli, Eucommia ulmoides, Ziziphus jujuba, Rhei Radix et Rhizoma. Then, the survey data was collected and analyzed. RESULTS： A to- tal of 81 questionnaires were given out and all were returned with effective recovery rate of 100%. In terms of professional titles, associate chief physicians showed the lowest average error rates in prescription handling cognition （27.5 % ）, compared with physi- cians （35.8%） and attending doctors （37.0%）. They made most mistakes about Fritillary and E. ulmoides. To the contrary, both physicians and attending doctors made most mistakes about E. ulmoides. In the scope of working life, physicians from different groups showed similar average error rates in prescription handing recognition （31.3%-38.8%）. All of them made most mistakes about P. chinense and E. ulmoides. As for major, those who study western internal medicine shared larger average error rates （43.8%） than those who study internal medicine of TCM （36.8%）, traumatology and orthopedics of TCM （31.8%） and acupunc- ture （36.5%）. Each major showed the highest error rates in E. ulmoides. The order of 8 TCM decoction pieces from the most mis- takes to the least mistakes made by physicians was E. ulmoides, P. chinense, Fritillary, Rhei Radix et Rhizoma, S. baicalensis, A. carmichaeli, Z. jujuba and A. sinensis. CONCLUSIONS： Physicians with different professional titles, working life and majors show deficiency in knowledge about the prescription handling of 8 commonly used TCM decoction pieces. Generally, physicians sho

关 键 词： 北京市 中医专科医院 医师 中药饮片 处方应付 认知 调查分析