缓控释强阿片类药物在老年癌痛患者中的应用分析  

Analysis of the usage of sustained and controlled-release opioids in elderly patients with cancer

作　　者：张丽莹[1] 

机构地区：[1]江苏省肿瘤医院药剂科,江苏省南京市210009

出　　处：《实用老年医学》2011年第4期301-303,共3页Practical Geriatrics

摘　　要：目的了解缓控释强阿片类药物在老年癌痛患者中的应用情况及用药趋势。方法对2008年1月至2010年12月在镇痛科就诊的776例年龄≥65岁的老年癌症患者使用缓控释强阿片类药物的情况进行统计和分析。结果缓控释强阿片类药物在老年癌痛患者的用量逐年增加,在硫酸吗啡缓释片、芬太尼透皮贴剂以及盐酸羟考酮控释片这三类缓控释强阿片类药物中,芬太尼透皮贴剂的用药频度位居第一,盐酸羟考酮控释片的用量增长迅速。结论本院老年癌症止痛治疗中用药是合理的。Objective To observe the status and to find out the trend of the use of sustained and controlled-release strong opioids in elderly patients witb cancer. Methods 776 cases of cancer patients over 65 years old receiving opioids treatment from January 2008 to December 2010 were retrospectively studied. Results The consumption of sustained and controlled-release strong opioids increased year by year. Among 3 commonly used painkillers, fentanyl transdermal patches, morphine sulfate sustained-release tablets and oxyeodone hydrochloride controlled-release tablets, the DDDs of the former one ranked in the first place. Conclusions The results demonstrate that painkillers are appropriately used in aged patients in our hospital.

关 键 词：癌痛 硫酸吗啡缓释片 芬太尼透皮贴剂 盐酸羟考酮控释片 用药频度 

分 类 号：R730.5[医药卫生—肿瘤] R441.1[医药卫生—临床医学]