| 摘要: |
| 目的:通过对《国家基本医疗保险、工伤保险和生育保险目录(2020 版)》(以下简称2020 版《医保目录》)中儿童专用中
成药的现状进行调查,查找儿童专用中成药存在的问题并提出改进措施。方法:以2020 版《医保目录》所收录的75 种儿童专用
中成药的说明书作为研究对象,对说明书中各项信息进行收集、统计与分析。结果:2020 版《医保目录》儿科专用中成药以内科
用药为主(85.33%),处方药味组成以3 ~10 个为主(58.67%);含毒性成分药品34 种,其中11 种为非处方药(OTC);说明书中
不良反应、禁忌证、注意事项、药物相互作用标注“尚不明确冶的占比分别为74.67%、78.67%、21.33%、65.33%。结论:儿童专
用中成药说明书中关于患儿安全、合理用药的信息不够完善,亟需改进,建议将说明书的完善程度作为药品纳入国家医保目录
的考量指标之一。 |
| 关键词: 医保目录 儿童 中成药 药品说明书 合理用药 |
| DOI：doi:10.13407/ j.cnki.jpp.1672.108X.2022.04.002 |
|
| 基金项目:上海市临床药学重点专科建设项目(区属),沪卫计药政(2018)9 号。 |
|
| Investigation on Current Status of Chinese Patent Medicine for Children in National Basic Medical Insurance, Occupational Injury Insurance and Maternity Insurance Catalogue (2020 Edition) |
| Gao Yue, Jiang Junfei |
| (Shanghai Songjiang District Central Hospital, Shanghai摇201600, China) |
| Abstract: |
| Objective: To probe into the problems of Chinese patent medicine for children and put forward improvement measures
through the investigation of current status of Chinese patent medicine for children in the National Basic Medical Insurance, Occupational
Injury Insurance and Maternity Insurance Catalogue (2020 Edition) (hereinafter referred to as the 2020 Edition of Medical Insurance
Catalogue). Methods: Taking the instructions of 75 kinds of Chinese patent medicine for children included in the 2020 Edition of
Medical Insurance Catalogue as the research object, the information in the instructions was collected, counted and analyzed. Results: In
the 2020 Edition of Medical Insurance Catalogue, Chinese patent medicine for children were mainly used for internal medicine
(85.33%). The number of preparation components was mainly from 3 to 10 (58.67%). There were 34 kinds of drugs containing toxic
components, 11 kinds of which were over the counter (OTC). The proportions of adverse drug reactions, contraindications, cautions and
drug interactions labeled “not clear in the instructions were respectively 74.67%, 78.67%, 21.33% and 65.33%. Conclusion: The
instructions for Chinese patent medicine for children are not perfect enough to provide safe and rational drug use information for children,
so it is urgent to further improve the connotation of the instructions. It is suggested that the completeness of instructions should be
considered as one of the indicators for the inclusion of drugs in the national medical insurance catalogue. |
| Key words: medical insurance catalogue children Chinese patent medicine drug instructions rational drug use |
