Page 13 - 2019年2月第30卷第4期

·药事管理·

基于ABC-VEN矩阵分析法的某妇产医院重点监控药品分析 Δ

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陈 晟 ，胡 斌 ，薛小荣，李琼阁，潘京京，李海燕（西安市第四医院/西安交通大学医学院附属广仁医院药剂
科，西安 710004）

中图分类号 R954 文献标志码 A 文章编号 1001-0408（2019）04-0439-04
DOI 10.6039/j.issn.1001-0408.2019.04.02

摘 要 目的：了解某妇产医院的药品使用情况，以明确需要重点监控的药品种类，为临床合理用药提供参考。方法：采用ABC
分析法、关键-基本-非基本药物（VEN）分析法和ABC-VEN矩阵分析法对该院2016年1月－2017年12月门诊和住院患者使用药
品品种、药品销售金额进行统计分析，以确定需重点监控的药品种类。结果：按ABC分析法将药品分为A类、B类和C类，3类药品
品种数构成比分别为6.08％、7.71％、86.21％，销售金额构成比分别为70.97％、19.07％、9.96％。按VEN分析法将药品分为V类、
E 类和 N 类，3 类药品品种数构成比分别为 36.51％、43.61％、19.88％，销售金额构成比分别为 31.89％、33.89％、34.22％。按
ABC-VEN矩阵分析法将药品分为Ⅰ组（AV类、AE类、AN类、BV类、CV类）、Ⅱ组（BE类、CE类、BN类）和Ⅲ组（CN类），3组药品
累计品种数构成比分别为40.56％、44.43％、15.01％，累计销售金额构成比分别为77.29％、20.52％、2.19％。N类药品中AN类以
中成药、血液代用品和灌注液的销售金额构成比较高，分别为12.48％、7.92％；BN类以中成药销售金额构成比较高，为3.21％；CN
类药品主要以中成药、性激素和生殖系统调节药的销售金额构成比较高，分别为1.14％、0.50％。结论：该妇产医院A类药品的销
售金额占药品销售总金额的主体，应根据药品疗效进行优选；对V类和E类药品应采取积极的监管政策，纳入更多具有成本-效果
优势的品种；对N类药品的管控与合理使用应重点监控，以减少不合理用药现象，特别是AN类药品中的部分中成药、血液代用品
和灌注液类药品应列为重点监控品种。
关键词 ABC分析法；关键-基本-非基本药物分析法；矩阵分析法；药品使用；药品监控

Analysis of Monitoring Focus Drugs in an Obstetrics and Gynecology Hospital Based on ABC-VEN Matrix
Analysis
CHEN Sheng，HU Bin，XUE Xiaorong，LI Qiongge，PAN Jingjing，LI Haiyan（Dept. of Pharmacy，Xi’an Forth
Hospital/Guangren Hospital Affiliated to School of Medicine of Xi’an Jiaotong University，Xi’an 710004，
China）

ABSTRACT OBJECTIVE：To investigate drug use in an obstetrics and gynecology hospital and confirm the types of drugs that
need to be monitored so as to provide reference for rational drug use in clinic. METHODS：Activity based classification（ABC）
analysis，Vital-Essential-Nonessential Medicine（VEN）analysis and ABC-VEN matrix analysis were used to statistically analyze
the types of drugs in the inpatients and outpatients of this hosptial during Jan. 2016-Dec. 2017，and consumption sum in the
hospital so as to determine the types of monitoring focus drugs. RESULTS：The drugs were divided into class A，B，and C by
using ABC analysis，and the constitute ratio of them were 6.08％，7.71％ and 86.21％；the constitute ratio of consumption sum
were 70.97％，19.07％ and 9.96％，respectively. The drugs were divided into class V，E and N，and the constitute ratio of them
were 36.51％，43.61％ and 19.88％；constituent ratios of their consumption sum were 31.89％，33.89％ and 34.22％，respectively.
The drugs were divided into group Ⅰ（class AV，AE，AN，BV，CV），group Ⅱ（class BE，CE，BN）and group Ⅲ（class CN）
by using ABC-VEN matrix analysis；the constitute ratios of accumulative number of drug type were 40.56％，44.43％ and 15.01％，
while those of accumulative consumption sum were 77.29％，20.52％ and 2.19％，respectively. Among class N，the constituent
ratio of consumption sum of class AN as Chinese patent medicine，blood substitutes and perfusion solutions were higher，being
12.48％ and 7.92％；that of class BN as Chinese patent medicine was higher，being 3.21％；those of class CN as Chinese patent
medicine，sex hormones and modulators of the genital system were higher，being 1.14％ ，0.50％ . CONCLUSIONS：In the
Obstetrics and Gynecology Hospital， consumption sum of
Δ 基金项目：陕西省重点研发计划项目（No.2017SF-252）；陕西省
卫生计生科研基金项目（No.2016D042） class A is the main part of the total consumption sum of
＊主管药师，硕士。研究方向：临床药学。电话：029-87480635。 drugs，and they should be seleted according to therapeutic
E-mail：chen_sheng@stu.xjtu.edu.cn efficacy. Active regulatory policies should be adopted for class
# 通信作者：主任药师，硕士。研究方向：医院药学。电话：029- V and E so that more drug types that possess cost-
87480866。E-mail：hubin@126.com

中国药房 2019年第30卷第4期 China Pharmacy 2019 Vol. 30 No. 4 ·439 ·