Trends in the prescriptions of Kampo medicines over a six-year period
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概要
- 論文の詳細を見る
医療用漢方エキス製剤(以下,漢方エキス製剤)の処方動向および問題点の抽出を目的に,首都圏の特定機能病院において使用実態調葦を行った。1994年から1999年までの6年間に発行された漢方エキス製剤を含む79,132枚の処方箋を解析した。調査対象施設では63品目の漢方エキス製剤が採用されていた。年齢別処方動向は,30代から60代の年齢層の患者に多く処方される傾向があり,診療科別では婦人科,内科,皮膚科などで多く処方されていた。方剤別では,柴苓湯,小柴胡湯,大建中湯などの品目が処方件数が多く,上位20品目で全体の84.8%を占めていた。経年的な処方実績を観察することによって,大建中湯,当帰芍薬散の需要が急速にのびていたことが明らかになった。一方,処方量の著しい減少が観察された方剤は,小柴胡湯,人参養栄湯,五苓散,補中益気湯などであった。西洋薬との併用に関しては,96.0%が西洋薬との併用処方であり,医療用医薬品添付文書に記載されている併用注意に該当する併用は1.1%であった。その中では,麻黄含有漢方エキス製剤とキサンチン製剤との併用が多く,特に葛根湯とテオフィリンとの併用が最も多く処方監査の充実や有害作用発現に関するモニターが必要であると考えられた。また,1999/1994比により将来的に必要とされる生薬を調査したところ,芍薬(173.4%),膠飴(149.0%),乾姜(148.7%),山椒(148.7%),牡丹皮(102.0%)などの需要が伸びていた。本調査によって,漢方エキス製剤の使用状況の一端が明らかになったが,今後は急性期および療養型の病床において同様の調査を継続して行うことによって,日本における漢方エキス製剤の使用状況がより明確になると考えられた。
- 2002-04-20
著者
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Tashiro Shin-ichi
Dep. Of Clinical And Biomedical Sciences Showa Pharmaceutical Univ. Jpn
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TASHIRO Shin-ichi
Department of Clinical and Biomedical Sciences, Showa Pharmaceutical University
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赤瀬 朋秀
Department Of Clinical And Biomedical Sciences Showa Pharmaceutical University
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AKASE Tomoko
Department of Clinical and Biomedical Sciences, Showa Pharmaceutical University
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AKASE Tomohide
Department of Clinical and Biomedical Sciences, Showa Pharmaceutical University
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Tashiro Shin-ichi
Department Of Clinical And Biomedical Sciences Showa Pharmaceutical University
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Akase Tomoh
Department Of Clinical And Biomedical Sciences Showa Pharmaceutical University
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Akase Tomoko
Department Of Cinical And Biomedical Sciences Showa Pharmaceutical University
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Tashiro Shin-ichi
Department Of Cinical And Biomedical Sciences Showa Pharmaceutical University
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Tashiro S
Department Of Clinical And Biomedical Sciences Showa Pharmaceutical University
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SHIMADA Shigehiko
Department of Pharmacy, Kitasato University Hospital
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Akase Tomohide
Department Of Clinical And Biomedical Sciences Showa Pharmaceutical University
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Hamada Yukihiro
Department Of Electrical Engineering Akashi National College Of Technology
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Hamada Yukihiro
Department Of Pharmacy Kitasato University Hospital:department Of Clinical And Biomedical Sciences S
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HIGASHIYAMA Daisuke
Department of Clinical and Biomedical Sciences, Showa Pharmaceutical University
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SAGAWA Ken-ichi
Department of Clinical and Biomedical Sciences, Showa Pharmaceutical University
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Shimada Shigehiko
Department Of Hospital Pharmacy Kitasato University Hospital
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Sagawa Kenichi
Department Of Clinical And Biomedical Sciences Showa Pharmaceutical University
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Higashiyama Daisuke
Department Of Clinical And Biomedical Sciences Showa Pharmaceutical University
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