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篇名
台灣慢性肝病使用之中藥處方類型和相關影響因子研究
並列篇名
Prescription Pattern and Related In fluence Factors of Chinese Herbal Medicine for Chronic Liver Diseases in Taiwan
作者 林雲蓮陳俊男吳聰能林以正 (Yi-Cheng Lin)
中文摘要

中藥是我國慢性肝病患者普遍使用之輔助醫療的藥物。為了鑑別用於治療慢性肝病中藥處方如何調配,本研究用藥物的有效性作為中藥處方分類標準,探討藥物有效性之處方類型及影響此類型之因子。 使用國家健保資料庫分析2008年中醫門診用於治療慢性肝病的資料進行分析藥物流行病學研究。經統計分析顯示在2008年間有43,119慢性肝病患者曾經使用中藥治療,中藥處方中最普遍使用的處方是和解(harmonize|63.7%)和清熱瀉火(40.8%)。 較年輕 45.4歲)和較年長(52.0歲)患者分別以發表和驅風處方為主。男性患者的處方以補陽、清熱瀉火和理血藥為主;女性患者開的處方以和解表裡和潤燥作用為主。本研究顯示用於治療慢性肝病的中藥處方類型受性別和年紀的影響。

英文摘要

Chinese herbal medicine (CHM) is a commonly used complementary and alternative medicine for patients with chronic liver diseases in Taiwan. In order to identify how CHM is prescribed for patients with chronic liver diseases, the drug effectiveness was used to classify the herbal formulae. The aim of this study is to explore the prescription pattern of drug effectiveness and the factors that affect this pattern. The National Health Insurance (NHI) database was analyzed for the pharmacoepidemiology study. Traditional Chinese medicine (TCM) outpatients who were identified by Gastroenterology with chronic liver diseases in the year of 2008 were included. Statistics and data mining tools were employed to explore CHM prescription pattern and factors that affect the pattern in terms of drug effectiveness, respectively. Among the 43,119 subjects treated chronic liver diseases with CHM, herbal formulae that has the effect of He Jie (harmonize, 63.7%) and Qing Re Xie Huo (clear heat and drain fire, 40.8%) were most commonly prescribed. Subjects prescribed for formulae with the effects of Fa Biao (release exterior, 45.4 years) and Qu Feng (expel wind 52.0 years) were the youngest and eldest, respectively. Male were more commonly prescribed for Bu Yang (tonify and nourish), Qing Re Xie Huo, and Li Xue (regulate blood); female were more commonly prescribed for He Jie, Biao Li (exterior and interior), and Ren Zao (moisture dryness). This study shows the prescription pattern of CHM in terms of drug effectiveness for chronic liver diseases. Gender and age affect this pattern.

起訖頁 001-011
關鍵詞 Chronic liver diseasesChinese herbal medicinepharmacoepidemiologyNational Health Insuranceprescription pattern
刊名 中醫藥雜誌  
期數 201506 (26:1期)
出版單位 衛生福利部國家中醫藥研究所(原:國立中國醫藥研究所)
DOI 10.3966/101764462015062601001   複製DOI
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