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30

2022

-

06


  近日,江苏省卫健委发布《江苏省个人设置的门诊部、诊所等医疗机构常用和急救药品目录(2021年修订版)》(以下简称《目录》),基层医疗机构可用药已超500种。

  该《目录》适用范围为:个人设置的门诊部、诊所、卫生所(室、站)等医疗机构。

  据悉,这是对2003年修订版再次修订,药物增删、细化非常具体,将于2022年4月1日正式实施。

  基层医师公社梳理出5大重点变化。

  01 变化一:增加82种可用药品

  和2003年修订版对比,最大的改变就是数量从434种增加至516种。

  据悉,这也是连续两次修订都增加药品数量。意味着,基层医疗机构的用药范围在不过扩大,很多药以前不能用但现在都能用了。

  但仍需注意,基层医疗机构在向患者提供药品时,不得超出目录范围和品种,否则将按超范围营业及给予处罚。

  02 变化二:重新排列组合成二十二类

  除总数增加外,《目录》里的药物又重新进行了排列组合。

  新增了4种甲状腺激素及抗甲状腺药,4种调脂及抗动脉粥样硬化药。总类别从原来的二十一类增加到二十二类。

  与此同时,分类也更加细化、具体,多种药物再合并,比如:

  2003年修订版中的青霉素共有6种,而在新版中只有3种,其中青霉素、青霉素V钾、氨苄西林钠、舒巴坦钠合并为青霉素。

  此外,还增加了麻醉、精神等药品,但仅限开展医疗美容手术的机构。

  03 变化三、新增11种糖尿病药

  随着糖尿病患者越来越多,糖尿病用药的需求也越来越大。

  新版目录中,取消了盐酸苯乙双胍片,新增了11种糖尿病药,分别是:

  1.格列美脲

  2.格列喹酮

  3.西格列汀

  4.利格列汀

  5.瑞格列奈

  6.吡格列酮

  7.阿卡波糖

  8.伏格列波糖

  9.依帕司他

  10.米格列醇

  11.利拉鲁肽

  04 变化四、新增13种降压药

  与糖尿病患者同样增多的还有高血压患者,在新版目录中,取消了常药降压片,增加了13种降压药:

  1. 复方硫酸双肼屈嗪

  2. 依那普利

  3. 赖诺普利

  4. 缬沙坦

  5. 缬沙坦氨氯地平

  6. 乌拉地尔

  7. 酚妥拉明

  8. 厄贝沙坦

  9. 奥美沙坦酯

  10. 氯沙坦钾

  11. 厄贝沙坦氢氯噻嗪

  12. 坎地沙坦酯

  13. 福辛普利

  05 变化五、首次增加痛风药:秋水仙碱

  在新版中,秋水仙碱和苯溴马隆首次被加入痛风药可用类别。

  众所周知,秋水仙碱片常用来治疗急性发作的痛风性关节炎,预防复发性痛风性关节炎的急性发作。

  但需要注意的是,该药毒性较大,一旦过量缺乏解救措施。如今在更多基层医疗机构可以买到此药,医生在给病人开药时要注意,避免药物过量。

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