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研究生: 林英聖
Lin, Ying-Sheng
論文名稱: 中藥複方與單方治療高血壓疾病之健保資料庫分析
An analysis of usage of single/compound traditional Chinese medicine in treating hypertension based on National Health Insurance data
指導教授: 徐立群
Shu, Lih-Chyun
學位類別: 碩士
Master
系所名稱: 管理學院 - 高階管理碩士在職專班(EMBA)
Executive Master of Business Administration (EMBA)
論文出版年: 2020
畢業學年度: 108
語文別: 中文
論文頁數: 47
中文關鍵詞: 高血壓傳統中醫用藥頻率與型態健保局
外文關鍵詞: hypertension, Traditional Chinese Medicine, medical prescription, National Health Insurance Administration
相關次數: 點閱:151下載:19
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  • 本研究以2013年臺灣中央健康保險局特約中醫院所申報資料分析不同國際病名[自發性高血壓(ICD-9-401)、高血壓性心臟病(ICD-9-402)、高血壓性腎臟病(ICD-9-403)、高血壓性心臟病及腎臟病(ICD-9-404)與續發性高血壓(ICD-9-405)] 之高血壓患者就診人數與次數、年齡層之分佈、處方用藥頻率與型態及開立單一處方之單味藥及複方數,以了解中醫治療高血壓現況為主要目的。結果發現2013年臺灣中央健康保險局特約中醫院所申報資料,總共收集54,517人,205,959件。高血壓病患者就診人數與就診次數均以自發性高血壓(ICD-9-401)及高血壓性心臟病及腎臟病(ICD-9-404)為最多,年齡層分佈男性或女性均分布於50歲至69歲之間,男性就醫人數與女性相當,約為1:1。依高血壓病患統計其用藥排行發現,用於治療高血壓前十名單味藥分別為丹參、鉤藤、大黃、葛根、杜仲、夏枯草、牛膝、黃芩、炮附子、芎藭;於治療高血壓前十名方劑分別為天麻鉤藤飲、血府逐瘀湯、鉤藤散、加味逍遙散、炙甘草湯、濟生腎氣丸、知柏地黃丸、柴胡加龍骨牡蠣湯、六味地黃丸、杞菊地黃丸。中醫治療肝病所用單方品項數以二至四個品項佔最多,複方品項數以二至三方佔最多,而在不分單、複方時,其處方之總藥味品項數以四至七個品項數最為普遍。本研究結果顯示中醫治療不同國際病名高血壓病之臨床用藥型態,臨床中醫治則及方劑使用頻率不盡相同,本研究結果值得臨床中醫用藥參考。這些方劑及單味藥治療高血壓病的效果仍有待進一步研究及臨床試驗。

    This study analyzed different hypertension-relation diseases (spontaneous hypertension (ICD-9-401), hypertensive heart disease (ICD-9-402), hypertensive kidneys) from the data submitted by the Chinese medicine hospital in National Health Insurance research database of Taiwan in 2013. The amount and frequency of patients visited, the age distribution, prescription frequency and type of prescription (single or compound) were also included in order to understand how traditional Chinese medicine treats the hypertension. The total 54517 people and related 205959 cased were analyzed. The result showed that the spontaneous hypertension (ICD-9-401) and hypertensive heart disease and kidney disease (ICD-9-404) were the highest cause. The distribution of age groups for male or female were between 50 to 69, the ratio of male and female was about 1:1. According to ICD10, the top ten single drugs which was been used to the treat of hypertension were Salvia miltiorrhiza, Uncaria rhynchophylla, Rheum Palmatum,Pueraria lobata, Eucommia ulmoides, Prunella vulgaris, Achyranthes bidentata,
    Scutellaria baicalnsis,Processed Aconite and Ligusticum chuanxiong. The top ten compound drugs which was been used to the treat of hypertension were Gastrodia & Nucaria Combination, Persica and Carthamus Combination, Gambir Formula, Bupleurum & Peony Formula, Licorice Combination, Cyathula & Plantago Formula, Phellodendron & Rehmannia Formula, Bupleurum & Dragon Bone Combination, Rehmannia Six Formula and Chrysanthemum & Rehmannia Formula.
    This study showed the pattern of TCM which used to treat different type of hypertension, and it can be used as reference for clinical usage. The scientific research still needed for evaluation of the effect of these TCM drugs to hypertension.

    第一章 緒論………………………………………………………………1 第二章 文獻探討 ………………………………………………3 第三章 研究方法 ……………………………………………15 第四章 資料分析與醫師訪談…………………………18 第五章 結論與討論……………………………………………42 參考文獻…………………………………………………………………43

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