江苏省中医院2009-2016年中药饮片退货原因分析
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摘要
目的分析江苏省中医院(以下简称"本院")不合格中药饮片退货原因,总结中药饮片质量验收经验,以保证临床用药的正确、安全、有效。方法采用Excel2010软件分析本院2009-2016年退货的中药饮片及其原因。结果拒收不合格中药饮片4408批次,共599618kg。不合格原因主要为硫磺熏蒸、增重、染色、药渣、伪品和掺伪、加工不合规范等。2009-2016年本院中药饮片退货率为1.06%～5.16%。中药材大品种种植基地的建立及中药饮片全过程质量控制的尝试,使本院中药饮片质量大幅提升,退货率明显降低。结论本院中药饮片质量把关可采取大品种实行全过程质量控制、中小品种严格终端验收。
Objective To analyze the rejected reasons for unqualified TCM decoction pieces in Jiangsu Hospital of TCM(hereinafter referred to as "our hospital"); To summarize the experience of quality inspection of TCM decoction pieces; To ensure the correct, safe and effective clinical medication. Methods Excel 2010 software was applied to get the statistics and reasons of rejected TCM decoction pieces in our hospital from 2009 to 2016. Results Totally 4408 batches(599 618 kg) TCM decoction pieces were rejected. The reasons concluded sulfur fumigation, aggravation, dyeing, the using of counterfeit and adulterated and processing irregularities, etc. The proportions of the unqualified TCM decoction pieces from 2009 to 2016 was between 1.06% and 5.16%. With the establishment of large variety planting base of Chinese materia medica and the whole process quality control of TCM decoction pieces, the quality of TCM decoction pieces was greatly improved. The return rate was greatly reduced. Conclusion The whole process quality control can be conducted for large varieties, and the strict terminal acceptance should be used for medium and small varieties.
Objective To analyze the rejected reasons for unqualified TCM decoction pieces in Jiangsu Hospital of TCM(hereinafter referred to as "our hospital"); To summarize the experience of quality inspection of TCM decoction pieces; To ensure the correct, safe and effective clinical medication. Methods Excel 2010 software was applied to get the statistics and reasons of rejected TCM decoction pieces in our hospital from 2009 to 2016. Results Totally 4408 batches(599 618 kg) TCM decoction pieces were rejected. The reasons concluded sulfur fumigation, aggravation, dyeing, the using of counterfeit and adulterated and processing irregularities, etc. The proportions of the unqualified TCM decoction pieces from 2009 to 2016 was between 1.06% and 5.16%. With the establishment of large variety planting base of Chinese materia medica and the whole process quality control of TCM decoction pieces, the quality of TCM decoction pieces was greatly improved. The return rate was greatly reduced. Conclusion The whole process quality control can be conducted for large varieties, and the strict terminal acceptance should be used for medium and small varieties.
引文
[1]国家药典委员会.中华人民共和国药典:一部[M].北京:中国医药科技出版社,2015.
[2]江苏省药品监督管理局.江苏省中药饮片炮制规范[M].南京:江苏科学技术出版社,2002.
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[4]朱育凤,张倩,金叶妹.我院2008-2011年中药饮片使用情况分析[J].中国药房,2012,23(39):3729-3731.
[5]朱育凤,金叶妹,张倩,等.我院2008-2012年清热类中药饮片应用分析[J].中国药房,2014,25(11):1040-1042.
[6]朱育凤,张倩,金叶妹,等.2009-2013年我院化痰止咳平喘类中药饮片使用分析[J].中国药房,2015,26(3):1450-1452.
[7]朱育凤,胡莹,张倩,等.2009-2013年我院利水渗湿类中药饮片使用分析[J].中国中医药信息杂志,2015,23(7):122-124.
[8]朱育凤,万伟忠,金叶妹,等.2009-2013年南京中医药大学附属医院解表类中药饮片使用分析[J].中国中医药信息杂志,2015,22(4):122-124.
[9]万伟忠,朱育凤,胡莹,等.我院2010-2014年平肝息风类中药饮片应用分析[J].中国药房,2016,27(11):1460-1462.
[10]朱育凤,胡莹,张倩,等.2010-2014年我院祛风湿类中药饮片使用分析[J].中国药房,2016,27(8):1024-1026.
[11]朱育凤.2011-2015年江苏省中医院补虚类中药饮片应用分析[J].中国中医药信息杂志,2017,24(7):121-124.
[2]江苏省药品监督管理局.江苏省中药饮片炮制规范[M].南京:江苏科学技术出版社,2002.
[3]国家药典委员会.关于在中药材及饮片中控制二氧化硫残留量检测限度的公示[EB/OL].[2018-02-06].http://www.chp.org.cn/cms/newscenter/news/000159.html.
[4]朱育凤,张倩,金叶妹.我院2008-2011年中药饮片使用情况分析[J].中国药房,2012,23(39):3729-3731.
[5]朱育凤,金叶妹,张倩,等.我院2008-2012年清热类中药饮片应用分析[J].中国药房,2014,25(11):1040-1042.
[6]朱育凤,张倩,金叶妹,等.2009-2013年我院化痰止咳平喘类中药饮片使用分析[J].中国药房,2015,26(3):1450-1452.
[7]朱育凤,胡莹,张倩,等.2009-2013年我院利水渗湿类中药饮片使用分析[J].中国中医药信息杂志,2015,23(7):122-124.
[8]朱育凤,万伟忠,金叶妹,等.2009-2013年南京中医药大学附属医院解表类中药饮片使用分析[J].中国中医药信息杂志,2015,22(4):122-124.
[9]万伟忠,朱育凤,胡莹,等.我院2010-2014年平肝息风类中药饮片应用分析[J].中国药房,2016,27(11):1460-1462.
[10]朱育凤,胡莹,张倩,等.2010-2014年我院祛风湿类中药饮片使用分析[J].中国药房,2016,27(8):1024-1026.
[11]朱育凤.2011-2015年江苏省中医院补虚类中药饮片应用分析[J].中国中医药信息杂志,2017,24(7):121-124.