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題 名 | 臺北區分會中醫門診痛經患者臨床用藥頻率與形態分析=Frequency and Pattern of Chinese Medicine Prescriptions for Dysmenorrhea |
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作 者 | 吳龍源; 賴慧真; 吳文碩; 蔡魯; 張照敏; 蔡美霞; 吳秀惠; 楊萬清; | 書刊名 | 北市中醫會刊 |
卷 期 | 16:2=60 2010.06[民99.06] |
頁 次 | 頁7-28 |
分類號 | 413.61 |
關鍵詞 | 痛經; 傳統中藥; 中藥用藥頻率與型態; 中央健康保險局; Dysmenorrhea; Traditional Chinese medicine; Frequency and pattern of Chinese medicine prescriptions; National Health Insurance; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:本研究主要目的為探討中醫門診痛經患者年齡層之分佈、申報醫療費用型態、處方用藥排行、單方及複方排行前20名用藥費用結構、治療方法等為主要目的。材料方法:本研究資料來源以2004-2008年中央健康保險局台北分局特約中醫院所申報全資料為資料庫,以門診痛經病患資料擷取條件,依中醫院所申報ICD-9-CM主、次診斷為6253之所有患者。結果:2004-2008年中醫門診主、次診斷申報痛經人數為132,411人,件數為457,924件,而平均每人就醫件數為2.5-2.9件。主、次診斷痛經患者各年齡層分佈以16-35歲分布最多:單方藥材排名前五名分別為延胡索、香附、益母草、丹參、五靈脂。複方藥材前20名藥品當中,前五名的複方分別為,加味逍遙散,當歸芍藥散,溫經湯、桂枝茯苓丸、少腹逐瘀湯。其中每張處方的用藥品項數以3-7個佔最多。以開藥4-7天佔最多,其中治療方式以純內科件數佔98.33%;平均每件給藥天數為6.9天。持續就醫五年者追蹤佔率為22.41%。結論:本研究提供中醫師臨床治療痛經的用藥頻率及型態,從研究中我們無法瞭解痛經的證型分類,但可從用藥的頻律及型態得知,痛經的臨床治療原則是以溫經、活血、化瘀、調養肝脾及行氣止痛為主,對於中醫師臨床用藥處方應是很好的參考價值。致於相關的方劑及藥物的作用機轉仍有待日後進一步加以闡明。 |
英文摘要 | Objective: To conduct a large-scale pharmacoepidemiological study and evaluate the age distribution, frequency, pattern, top ten of TCM prescriptions in treating dysmenorrhea. Methods: we obtained the database of traditional Chinese medicine outpatient (including ICD-9-6253) claims from the National Health Insurance in Taipei Divession for the whole 2004-2008. Patients with dysmenorrhea were identified by the corresponding diagnosis of International Classification of Disease among claimed visiting files. Corresponding prescription files were analyzed and association rule were applied to evaluate the co-prescription of TCM in treating dysmenorrhea. Results: Among the 132,411 subjects, 457,924 formulas treated by TCM for dysmenorrhea, the peak age was in the range of 16-35 yrs. Corydalis yuanhusuo. Cyperus rotundus, Leonurus sibiricus, Salvia miltiorrhiza, and Trogopterus xanthippes were the first five single herbs used for treating ICD-9-6253 disease. The first five ranks of TCM prescriptions for treating ICD-9-6253 disease were Jia-wei-xia-yao-san (JWXYS) Dang-gui-shao-yao-san (DGSYS). Wen-Jing-Tang (WJT). Gui-Zhi-Fu-Ling-Wan (GZFLW) and Shao-Fu-Zhu-Yu-Tang (SFZYT). The number of TCMs and days for taking in a prescription that Traditional physicians wrote out almost contained 3-8 TCMs and 4-7 days, respectively. There were 22.41% patients who were treating for five years. Conclusion: pattern of Chinese herbal drugs or prescription in treating dysmenorrhea. The treating principle of dysmenorrhea in TCM clinic is Wen-Jing, blood-activating and stasis-resolving, Xing-qi-stop pain or renourishing liver and spleen. The present results are worthy of being considered as the reference by the Traditional physicans. |
本系統中英文摘要資訊取自各篇刊載內容。