作 者 :张红红,谢雁鸣,杨薇,王永炎,易丹辉,庄严
期 刊 :中国中药杂志 2014年 39卷 18期 页码:3504.
关键词:1型糖尿病 ;真实世界 ;成年患者 ;医院信息系统 ;联合用药方案 ;
Keywords:type 1 diabetes , the real world , adult patients , hospital information system , combination scheme ,
摘 要 :为了解综合医院中1型糖尿病成年患者中药与西药使用种类及联合使用特征,以全国13家三级甲等医院信息系统(hospital information system,HIS)中2003年12月—2011年7月期间住院的4 602例1型糖尿病成年住院患者为研究对象,利用频数统计及关联规则方法分析其使用频率较高的西药和中药以及其联合使用情况。通过分析发现,临床治疗成年1型糖尿病患者时,西药以胰岛素为最多,共1 539例,占8.47%;中药以三七口服剂常见,共183例,占6.25%;中西药物常联合使用的有活血化瘀通脉舒络+血管扩张剂,支持度为45.93%,其次为活血化瘀通脉舒络+血管扩张剂+降糖药组合,支持度为45.50%;活血化瘀通脉舒络+血管扩张剂+营养剂组合支持度为36.29% 。
Abstract:To understand the kinds and the characteristics of combination of traditional Chinese medicines and western medicines using on adults with type 1 diabetes in general hospitals,This research brings into 4 602 hospitalized adult patients with type 1 diabetes from hospital information system(HIS) of 13 third class A hospitals. These research objects were hospitalized in December 2003—July 2011.The research analyzes the operating frequency and associated usage of western medicines and traditional Chinese medicines by the method of frequency statistics and association rules. Through the analysis,the research says that in the clinical treatment of adult patients with type 1 diabetes, the western medicine used most frequently is insulin, a total of 1 539 cases, accounted for 8.47%; the traditional Chinese medicine used most frequently is oral agents of pseudo-ginseng, a total of 183 cases, accounting for 6.25%; the combinations of Chinese and western medicines commonly used include Huoxue Huayu Tongmai Shuluo decoction+ vasodilator, support degree is 45.93%, followed by Huoxue Huayu Tongmai Shuluo decoction+vasodilator+hypoglycemic drugs, support degree is 45.50%; Huoxue Huayu Tongmai Shuluo decoction+vasodilator+nutritional agent, support degree is 36.29%.
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