Huang Sheng-Kang, Lai Chih-Sung, Chang Yuan-Shiun, Ho Yu-Ling
1 Department of Chinese Pharmaceutical Sciences and Chinese Medicine Resources, China Medical University , Taiwan .
2 Chang-Hua Hospital , Ministry of Health and Welfare, Changhua County, Taiwan .
J Altern Complement Med. 2016 Oct;22(10):832-840. doi: 10.1089/acm.2015.0080. Epub 2016 Jun 27.
OBJECTIVES: Patients in Taiwan with allergic rhinitis seek not only Western medicine treatment but also Traditional Chinese Medicine treatment or integrated Chinese-Western medicine treatment. Various studies have conducted pairwise comparison on Traditional Chinese Medicine, Western medicine, and integrated Chinese-Western medicine treatments. However, none conducted simultaneous analysis of the three treatments. This study analyzed patients with allergic rhinitis receiving the three treatments to identify differences in demographic characteristic and medical use and thereby to determine drug use patterns of different treatments. MATERIALS AND METHODS: The National Health Insurance Research Database was the data source, and included patients were those diagnosed with allergic rhinitis (International Classification of Diseases, Ninth Revision, Clinical Modification codes 470-478). Chi-square test and Tukey studentized range (honest significant difference) test were conducted to investigate the differences among the three treatments. RESULTS: Visit frequency for allergic rhinitis treatment was higher in female than male patients, regardless of treatment with Traditional Chinese Medicine, Western medicine, or integrated Chinese-Western medicine. Persons aged 0-19 years ranked the highest in proportion of visits for allergic rhinitis. Traditional Chinese Medicine treatment had more medical items per person-time and daily drug cost per person-time and had the lowest total expenditure per person-time. In contrast, Western medicine had the lowest daily drug cost per person-time and the highest total expenditure per person-time. The total expenditure per person-time, daily drug cost per person-time, and medical items per person-time of integrated Chinese-Western medicine treatment lay between those seen with Traditional Chinese Medicine and Western medicine treatments. CONCLUSIONS: Although only 6.82 % of patients with allergic rhinitis chose integrated Chinese-Western medicine treatment, the visit frequency per person-year of integrated Chinese-Western medicine ranked highest. In addition, multiple-composition medicines were used more frequently than single-composition medicines, and mar huang (Ephedra sinica Stapf) was seldom used to decrease the risk of combining medications.
目的：台湾地区过敏性鼻炎患者不仅寻求西医治疗，也会寻求中医治疗或中西医结合治疗。多项研究对中医、西医及中西医结合治疗进行了两两比较。然而，尚无研究对这三种治疗方法进行同时分析。本研究分析了接受这三种治疗的过敏性鼻炎患者，以确定人口统计学特征和医疗使用方面的差异，从而确定不同治疗方法的用药模式。 材料与方法：以全民健康保险研究数据库为数据源，纳入的患者为诊断为过敏性鼻炎（国际疾病分类第九版临床修订本编码470 - 478）者。采用卡方检验和Tukey学生化极差（诚实显著差异）检验来研究三种治疗方法之间的差异。 结果：无论采用中医、西医还是中西医结合治疗，女性过敏性鼻炎患者的就诊频率均高于男性患者。0 - 19岁人群过敏性鼻炎就诊比例最高。中医治疗每人次的医疗项目更多，每人次的每日药费更高，每人次的总费用最低。相比之下，西医每人次的每日药费最低，每人次的总费用最高。中西医结合治疗每人次的总费用、每人次的每日药费和每人次的医疗项目介于中医和西医治疗之间。 结论：尽管只有6.82%的过敏性鼻炎患者选择中西医结合治疗，但中西医结合治疗的每人年就诊频率最高。此外，复方药物的使用频率高于单方药物，麻黄很少使用以降低联合用药风险。
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