Cov ntaub ntawv tshawb fawb ntawm cov kev kuaj mob ntawm cov tshuaj lom neeg suav tshuaj lom neeg
Feb 08, 2025
Abstract:
Cov tshuaj tshiab ib txwm muaj tshuaj cistance
Nyem rau cov ntaub ntawv ntxiv ntawm cov tshuaj suav hauv Suav teb
Kev sivTshuaj lom neeg Suav Tshuajyog ib qho ntawm cov ntawv ntawmSuav Tshuaj Suav Raug Tshuajthiab ib qho ntawm cov yam ntxwv ntawmSuav Tshuaj Txoj kev xavCov. Nws qhia cov yam ntxwv ntawm Suav cov kws kho mob hauv kev tiv thaiv yav dhau los hauv kev tiv thaiv thiab kho cov kab mob [1]. Cov tshuaj lom neeg Suav muaj cov txiaj ntsig zoo thiab muaj zog kho mob lub luag haujlwm, thiab ua si nrog cov kab mob uas tsis muaj teeb meem thiab cov neeg muaj feem cuam tshuam txog cov cai tswjfwm [2]. Txawm li cas los xij, lub qhov rais kho ntawm cov tshuaj lom neeg Suav yog nqaim. Piv txwv li, yog tias xaiv cov tshuaj tsis haum rau qhov ntsuas tau, kev siv ntau dhau los ua kom muaj kev phiv tshuaj lom neeg, thiab coj kev phom sij rau cov neeg mob kho mob [3]. Cov neeg mob laus zwm rau cov pej xeem tshwj xeeb. Nrog rau nce ntawm lub hnub nyoog, lawv cov khoom muaj zog qhia kev ua yeeb tshuaj poob, thiab lawv lub peev xwm ua tau yooj yim siv tshuaj lom thiab ua kom cov tshuaj tiv thaiv kev phom sij [4]. Raws li cov tshuaj tiv thaiv tcm ntau hauv cov kws kho mob hauv tsev kho mob, txhawm rau muab cov qauv tshuaj lom thiab cov teeb meem kev nyab xeeb rau kev nyab xeeb thiab siv tau ntawm TCM tsis zoo TCM los ntawm Cov neeg mob laus hauv kev tshawb fawb.
Cov tshuaj ntsuab tshiab suav tshuaj Cistanche tshuaj tua
1 cov ntaub ntawv thiab cov hau kev
1.1 Cov Ntaub Ntawv Tau
Cov ntaub ntawv ntawm txoj kev kawm no los ntawm tag nrho cov ntaub ntawv tshuaj muaj tshuaj lom TCM ntawm lub Rau Hli 2023 rau lub Rau Hli 2023, suav nrog tus neeg phem hnub nyoog, poj niam txiv neej,
Kev kuaj mob, npe ntawm TCIC TCM, thiab ntau npaum li cas, thiab sau thiab txheeb lawv tawm thiab txheeb xyuas cov ntaub ntawv.
1.2 Txoj Kev
Txhua tus kws kho mob sab nrauv ntawm cov neeg laus neeg mob ntawm lub Rau Hli 2022 rau Lub Rau Hli 2023 tau muab rho tawm los ntawm cov ntaub ntawv sau txog tsev kho mob thiab Hangzhou Yiyao kev siv tshuaj yeeb siv tshuaj. Raws li cov cai lij choj cuam tshuam nrog 2020 tsab ntawm Suav papacopopoia part 1 (2015 Kev ntsuas "[8] thiab cov qauv" tshuaj suav ib txwm muaj, thiab cov tshuaj suav hauv Suav teb, thiab cov tshuaj suav
2 cov txiaj ntsig
2.1 Cov ntsiab lus tseem ceeb ntawm kev siv tshuaj lom neeg cov tshuaj lom neeg Suav Herbal hauv Outpatient chaw kho mob
Txij Lub Rau Hli 2022 txog Rau Lub Rau Hli 2023, tag nrho ntawm 44,943 cov tshuaj rau cov neeg mob Suav Herbatient rau 28.81% ntawm tag nrho cov tshuaj noj. Muaj cov khoom siv tshuaj lom rau cov tshuaj lom neeg Suav Herbal (cov tshuaj ntsuab Suav tau tshwm sim hauv cov tshuaj lom Lub xeev muag khoom siv thiab Zhejiang Xeev ob leeg siv peb qib tshuaj lom, lom me ntsis rau tshuaj lom neeg Suav Herbal. Raws li cov ntaub ntawv teev tseg, cov neeg mob laus uas muaj cov neeg mob laus thiab tshuaj lom me me thiab tsis muaj tshuaj lom neeg Suav Herbal Suav tau siv. Ntawm cov ntau no siv ntau yam, 25 yog los ntawm Suav pharmacoploeia, suav nrog 14 tshuaj lom thiab 11 cov tshuaj lom me me; 16 yog los ntawm Zhejiang xeev kev ua haujlwm tshwj xeeb, suav nrog 7 lom thiab 9 muaj tshuaj lom me me. Cov txiaj ntsig tau qhia hauv Table 1.
2.2 Tshuaj tiv thaiv cov yam ntxwv ntawm cov tshuaj lom neeg Suav tshuaj ntsuab
2.2.1 hnub nyoog thiab cov neeg mob uas muaj neeg mob cov neeg mob laus hauv cov tshuaj lom neeg Suav Tshuaj ntsuab
Tag nrho ntawm 17,474 cov tshuaj ntsuab tshuaj ntsuab Suav cov tshuaj tau sau, koom nrog cov neeg mob hnub nyoog 60 txog 99 xyoo, muaj hnub nyoog nruab nrab ntawm 68.90 xyoo. Ntawm lawv, 60-69}} Cov pab pawg hnub nyoog siv cov tshuaj lom neeg Suav tshuaj lom neeg (suav nyiaj txiag rau cov tshuaj lom Tus poj niam txiv neej faib ua haujlwm koom nrog cov neeg mob txiv neej (cov khoom siv tshuaj lom rau cov neeg mob toxic Cov txiaj ntsig tau tshwm sim hauv rooj 2.
2.2.2 Kev faib tawm ntawm 15 tus kab mob sab saum toj ntawm tus lej ntawm cov tshuaj lom neeg Suav Tshuaj lom zem
Noj cov tshuaj tiv thaiv kab mob thawj zaug hauv cov neeg mob uas muaj kab mob uas muaj kuab lom, thiab mob plab zom mov Kev muaj kab mob thiab cov kev raug mob, thiab lwm yam Cov txiaj ntsig tau qhia hauv Table 3.
Rooj 1: Tshuaj lom TCM Decoction daim
| Lub hauv paus | Lom | Me me toxic | Tag nrho cov nuj nqis |
|---|---|---|---|
| Txawv Teb Chaws Tuaj Suav | Aconite, npaj Aconite, Pinellia Ternata, Croton noob, strychnos, sophora flavescens, thiab lwm yam. | Rhubarb, Efelra, licorice, Angelica, Astragalus, thiab lwm yam. | 25 |
| Hauv zos muaj nyob hauv Zhejiang xeev | Arsenolite, Realar, Toad Venom, thiab lwm yam. | Rhubarb, Pinellia, Fritillaria, thiab lwm yam. | - |
Rooj 2: Lub hnub nyoog thiab poj niam txiv neej faib cov tshuaj lom ib txwm tshuaj Suav teb cov tshuaj laus
| Hnub nyoog Pawg | Tshuaj (txiv neej) | Tshuaj (poj niam) | Tag nrho cov tshuaj | Feem pua ntawm cov tshuaj tiv thaiv tag nrho (%) | Feem pua ntawm cov neeg mob tag nrho (%) |
|---|---|---|---|---|---|
| 60-69 | 4,923 | 5,626 | 10,549 | 60.37 | 16.85 |
| 70-79 | 2,864 | 3,042 | 5,906 | 31.48 | 9.26 |
| 80-89 | 656 | 692 | 1,348 | 7.18 | 2.12 |
| 90-99 | 83 | 87 | 170 | 0.97 | 0.27 |
| Tag nrho | 8,526 | 9,447 | 17,973 | 100.00 | 28.50 |
| Txoj hauj lwm twg | Kab mob kev kuaj mob | Cov naj npawb ntawm cov tshuaj | Feem pua ntawm tag nrho TCM cov tshuaj lom (%) |
|---|---|---|---|
| 1 | Cov kab mob stroke-ntsig txog | 1,075 | 19.87 |
| 2 | Cov Kab Mob Uas Phooj Ywg | 587 | 10.85 |
| 3 | Lumbar kab mob | 504 | 9.32 |
| 4 | Hnov cov kab mob | 494 | 9.13 |
| 5 | Kev raug mob raug mob | 394 | 7.28 |
| 6 | Cov Kab Mob Hluav Taws Xob Hluav Taws Xob | 374 | 6.91 |
| 7 | Cov Kab Mob Nkaus | 365 | 6.75 |
| 8 | Mob plab | 591 | 5.91 |
| 9 | Cov Kab Mob Dampness-Txheej Txheem | 501 | 5.91 |
| 10 | Cov Kab Mob Kub Mus | 389 | 5.79 |
| 11 | Damp-tshav kub cuam tshuam | 502 | 5.77 |
| 12 | Kab Mob Mob | 179 | 3.25 |
| 13 | Cov Kab Mob Kub Kub | 502 | 2.38 |
| 14 | Kev ua tsis muaj zog | 175 | 2.04 |
| 15 | TCM Tshuaj lom | 179 | 1.02 |
2.3 Siv tshuaj lom neeg cov tshuaj lom neeg Suav Herbal
2.3.1 Cov ntaub ntawv muab tshuaj, faib ua feem, tshuaj ntsuam xyuas mob TCM thiab cov tshuaj ntsuam xyuas cov tshuaj lom neeg nyob rau hauv cov neeg laus hauv tsev laus. Daim ntawv thov cov tshuaj ntsuam ntawm cov tshuaj lom neeg Suav tshuaj ntsuab hauv cov neeg mob sab nrauv cov neeg mob sib faib ua ke sib raug zoo. Ntawm lawv, 40 tus tshuaj lom neeg Suav tshuaj ntsuab tau siv rau cov tshuaj lom neeg Suav tshuaj ntsuab xws li Artemisia Argyi, ua tiav Caukwu, thiab ua tiav rau kev siv rau sab nraud. Cov ntawv thov kho mob tseem ceeb ntawm qhov ncauj muaj tshuaj lom neeg Suav Ferbal suav nrog cov ua pa, cov plab zom mov, hlab ntsha thiab endocrine system. Cov kev thov kho mob ntawm cov tshuaj lom neeg Suav felbal suav cov tshuaj lom zem rau ntawm cov kab mob uas puab thiab cov kab mob ntawm daim tawv nqaij. Cov txiaj ntsig tau tshwm sim hauv rooj 4.
2.3.2 TSHOOJ YIM OVERPE NTAWM TOXIC MAY Herbal
Txoj kev tshawb fawb no tau siv cov kev txwv sab sauv ntawm cov tshuaj ntsuab los yog Zhejiang Provication raws li cov txheej txheem rau txeej tshuaj lom neeg Suav, thiab xa mus rau qhov teeb tsa ntawm Chang Xinnan li al. [10] thiab liu shuyu li al. [11]. Qhov kev faib ua feem ntawm overdose (%)=tus lej ntawm cov tshuaj lom neeg muaj tshuaj lom neeg muaj tshuaj lom neeg lom zem ntawm cov tshuaj lom neeg lom zem Muab tshuaj, thiab qhov nruab nrab ntawm ntau dhau (lub sijhawm) {5}} Cov tshuaj lom neeg lom zem tag nrho cov tshuaj lom neeg muaj cov tshuaj lom neeg lom. Qhov loj dua cov overdose ntau ntau, ntau dua cov qib ntawm overdose. Cov txiaj ntsig tau pom tias muaj 2,834 cov tshuaj noj rau ntawm cov tshuaj lom neeg lom zem, uas 22 hom tshuaj ntsuab nyob rau hauv nroog Qhov loj tshaj plaws feem ntawm overterose yog sheliugu, uas yog 1 {{}}}. 00}.}}. Cov txiaj ntsig tau tshwm sim hauv Table 5.
2.3.3 Ua ke siv cov tshuaj lom neeg Suav ferbal Suav Herbal
There were 7,897 prescriptions for combined use of ≥2 toxic Chinese herbal medicines in outpatient elderly patients, of which 4,395 were oral and 3,502 were external. There were 5,156 prescriptions for combined use of 2 toxic Chinese herbal medicines (accounting for 65.29%), with the highest frequency of combined oral use of scorpion and centipede. There were 1,617 articles (accounting for 20.48%) that contained 3 toxic Chinese medicines in combination, with the most frequent combination of Artemisia argyi, processed Radix Aconiti Kusnezoffii, and Radix Difengpi for external use. When ≥4 toxic Chinese medicines were used in combination, and the frequency of combination was >10, kev siv tau yog siv sab nraud. Muaj 544 cov ntawv (nyiaj txiag rau 6.89%) uas muaj 4, artneomi Kusnezoffi Kusnezoffi, Argemisia Argyi, ua tiav Radix Aconiti Kusnezoffii, ua tiav Radix Aconiti Kusnezoffii, thiab AGKISTODON yog qhov sib xyaw ua ke. Cov txiaj ntsig tau tshwm sim hauv Table 6.
