Zhang Nan, Shi Nannan, Li Siyu, Liu Guoxiu, Han Yonglong, Liu Li, Zhang Xin, Kong Xiangwen, Zhang Bihua, Yuan Wenpeng, Liu Yi, Deng Deqiang, Zheng Minxia, Zhang Ying, Li Lihua, Wang Xiaoping, Wu Jiankun, Lin Xiaolan, Nian Hua, Wu Xiaohong, Wang Hua, Liu Fang, Wang Hongli, Wang Hongshun, Liu Ying, Liu Li, Zeng Weixin, Yang Manqin, Wang Yanping, Zhai Huaqiang, Wang Yongyan
Beijing University of Traditional Chinese Medicine, Beijing, China.
China Academy of Chinese Medical Sciences, Beijing, China.
Front Pharmacol. 2020 Nov 30;11:574562. doi: 10.3389/fphar.2020.574562. eCollection 2020.
This research aims to analyze the application regularity of Chinese patent medicine during the COVID-19 epidemic by collecting the names of the top three Chinese patent medicines used by 24 hospitals in 14 provinces of China in four time periods (January 20-22, February 16-18, March 01-03, April 01-03, 2020), and explore its contribution to combating the disease. 1) We built a database of the top three Chinese patent medicines used by 24 hospitals. 2) The frequency and efficacy distribution of Chinese patent medicine were analyzed with risk areas, regions, and hospitals of different properties as three factors. 3) Finally, we analyzed the differences in the use of heat-clearing and non-heat-clearing medicines among the three factors (χ test) and the correlation between the Chinese patent medicine and COVID-19 epidemic (correlation analysis) with SPSS 23.0 statistical software. 1) The heat-clearing medicine was the main use category nationwide during January 20-22, 2020. Meanwhile, there was a significant difference in the utilization rate of heat-clearing and non-heat-clearing medicine in different risk areas ( < 0.01). 2) The variety of Chinese patent medicine was increased nationwide during February 16-18, 2020, mainly including tonics, blood-activating and resolving-stasis, and heat-clearing medicines. Meanwhile, there was a significant difference in the utilization rate of heat-clearing and non-heat-clearing medicine in the southern and northern regions ( < 0.05). 3) Tonics, and blood-activating and resolving-stasis medicines became the primary use categories nationwide during March 01-03, 2020. 4) The tonics class, and blood-activating and resolving-stasis medicine were still the primary categories nationwide during April 01-03, 2020. Meanwhile, there was a significant difference in the utilization rate of heat-clearing and non-heat-clearing medicine in different risk areas ( < 0.01). Chinese patent medicine has a certain degree of participation in fighting against the COVID-19. The efficacy distribution is related to the risk area, region, and hospital of different properties, among which the risk area is the main influencing factor. It is hoped that future research can further collect the application amount of Chinese patent medicine used in hospitals all over the country, so as to perfectly reflect the relationship between Chinese patent medicine and the epidemic situation.
本研究旨在通过收集中国14个省份24家医院在四个时间段(2020年1月20 - 22日、2月16 - 18日、3月1 - 3日、4月1 - 3日)使用的排名前三的中成药名称,分析中成药在新冠疫情期间的应用规律,并探讨其对抗击该疾病的贡献。1)我们建立了24家医院使用的排名前三的中成药数据库。2)以风险地区、区域和不同性质的医院为三个因素,分析中成药的使用频率和功效分布。3)最后,我们使用SPSS 23.0统计软件分析三个因素(χ检验)中清热药与非清热药使用的差异以及中成药与新冠疫情之间的相关性(相关性分析)。1)2020年1月20 - 22日期间,清热药是全国主要的用药类别。同时,不同风险地区清热药与非清热药的使用率存在显著差异(<0.01)。2)2020年2月16 - 18日期间,全国中成药品种增加,主要包括滋补药、活血化瘀药和清热药。同时,南方和北方地区清热药与非清热药的使用率存在显著差异(<0.05)。3)2020年3月1 - 3日期间,滋补药和活血化瘀药成为全国主要的用药类别。4)2020年4月1 - 3日期间,滋补药类别和活血化瘀药仍是全国主要类别。同时,不同风险地区清热药与非清热药的使用率存在显著差异(<0.01)。中成药在抗击新冠疫情中具有一定程度的参与。功效分布与不同性质的风险地区、区域和医院有关,其中风险地区是主要影响因素。希望未来的研究能够进一步收集全国各地医院使用中成药的应用量,以便更完美地反映中成药与疫情之间的关系。