我院2012-2014年住院患者麻醉药品使用分析
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篇名: 我院2012-2014年住院患者麻醉药品使用分析
TITLE:
摘要: 目的:为临床合理使用麻醉药品提供参考。方法:利用医院信息系统获取我院2012-2014年住院患者麻醉药品的使用数据,对药品消耗量、销售金额、用药频度(DDDs)、序号比(B/A)、日均费用(DDC)及各科室使用量等进行统计分析。结果:2012-2014年,硫酸吗啡缓释片、盐酸羟考酮缓释片和硫酸可待因片的使用数量和消耗量均居前3位。硫酸吗啡缓释片、盐酸羟考酮缓释片和芬太尼透皮贴剂(8.4 mg)的销售金额均稳居前3位。芬太尼透皮贴剂(8.4 mg)和硫酸吗啡缓释片的DDDs均居前3位;注射剂型的盐酸吗啡注射液、盐酸布桂嗪注射液和盐酸哌替啶注射液DDDs居后3位。2012年硫酸吗啡缓释片和芬太尼透皮贴剂(8.4 mg)、2014年盐酸羟考酮缓释片、2013及2014年芬太尼透皮贴剂(2.5 mg)的B/A值均=1,同步性较好,其余均有偏倚。各麻醉药品3年的DDC保持稳定,盐酸羟考酮缓释片的DDC居于首位,芬太尼透皮贴剂(8.4 mg)次之。全院19个科室使用了麻醉药品,但主要集中在肿瘤科和普外科。在肿瘤科,口服剂型的消耗量占88%以上,金额占比达52%以上,均显著高于其他剂型。结论:我院麻醉药品品种、剂型齐全,能满足临床需求,且其应用基本合理。肿瘤科麻醉药品的使用符合世界卫生组织癌症三阶梯止痛治疗的基本原则。
ABSTRACT: OBJECTIVE: To provide reference for the rational use of narcotic drugs. METHODS: The utilization of narcotic drugs for inpatients in our hospital during 2012-2014 were collected from HIS, and analyzed statistically in respects of consumption amount, consumption sum, DDDs, B/A, DDC and consumption amount of the different departments, and so on. RESULTS: The quantity and consumption amount of Morphine sulfate sustained-release tablets, Oxycodone hydrochloride sustained-release tablets and Codeine phosphate tablet ranked the first 3 places during 2012-2014. Morphine sulfate sustained-release tablets, Oxycodone hydrochloride sustained-release tablets and Fentanyl transdermal patch (8.4 mg) steadily occupied the first 3 places in the list of consumption sum. In the list of DDDs, Fentanyl transdermal patch and Morphine sulfate sustained-release tablets took up the first 3 places; Morphine hydrochloride injection, Bucinnazine hydrochloride injection and Meperidine hydrochloride injection occupied the last 3 places. B/A value of Morphine sulfate sustained-release tablets and Fentanyl transdermal patch (8.4 mg)  in 2012, Oxycodone hydrochloride sustained-release tablets in 2014, Fentanyl transdermal patch (2.5 mg) in 2013 and 2014 were all equal to 1 and synchronized well. Others were all biased. DDC of narcotic drugs kept stable in 3 years, and DDC of Oxycodone hydrochloride sustained-release tablets took up the first place, followed by Fentanyl transdermal patch (8.4 mg). Narcotic drugs were consumed in 19 departments, but mainly in the department of oncology and general surgery. In the department of oncology, the consumption amount and sum of oral formulation were both significantly higher than other dosage forms, accounting for more than 88% and 52% respectively. CONCLUSIONS: The variety and dosage form of narcotic drugs could meet the clinical needs and its application is basically reasonable. Besides, the utilization of narcotic drugs in the department of oncology consistent with the basic principles of WHO three steps cancer analgesia treatments.
期刊: 2016年第27卷第5期
作者: 吕小群,张军
AUTHORS: LYU Xiaoqun,ZHANG Jun
关键字: 麻醉药品;癌痛;用药频度;使用分析;癌症三阶梯止痛治疗
KEYWORDS: Narcotic drugs; Cancer pain; DDDs; Utilization analysis; Three steps cancer analgesia treatment
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