2010至2012年我院麻醉性癌性止痛药使用情况的调查分析  

Analysis of the Use of Narcotic Cancerous Analgesics in Our Hospital between 2010 and 2012

作　　者：龚建平[1,2] 李群[1,2] 

机构地区：[1]怀化市第二人民医院 [2]怀化市肿瘤医院药剂科,湖南怀化418000

出　　处：《肿瘤药学》2013年第4期309-312,共4页Anti-Tumor Pharmacy

摘　　要：目的调查我院麻醉性癌性止痛药的使用情况，为促进临床合理用药提供参考依据。方法收集我院2010年～2012年麻醉处方15673张，对麻醉药品的品种、用药数量、用药金额、用药频度（DDDs）及药物利用指数（DUI）进行统计、分析。结果我院麻醉性癌性止痛药用量逐年增加，吗啡缓释片的用量上升尤为明显，其DDDs三年均排名第一，可待因弱阿片类止痛药用量逐年减少，哌替啶用量大幅度下降，吗啡的药物利用指数（DUI）〉1。结论我院麻醉性癌性止痛药的使用基本合理，但仍存在一些问题，医院还需要继续加强合理使用麻醉药品的培-／）q~处方管理。Objective To provide references for promoting the rational use of narcotic cancerous analgesics by investigating the service condition of narcotic cancerous analgesics in our hospital. Methods A total of 15673 pieces of narcotic cancerous analgesics prescriptions in our hospital between year 2010 and 2012 were collected. The variety, amount, cost, DDDs and DUI of narcotic drugs were counted and analyzed. Results Narcotic cancerous analgesics consumption increased year by year in our hospital. The amount of morphine sustained-release tablet increased obviously and its DDDs ranked first in all three years. Yet the consumption of weak opioid analgesic like codeine decreased year by year. It had a sharp fall in the amount of Pethidine. The utilization index of morphine was higher than one. Conclusion The use of narcotic cancerous analgesics was basically rational, but there were still some problems. It is still necessary for our hospital to strengthen the training of the rational use of narcotic drugs and administration of the prescriptions.

关 键 词：麻醉药品 癌症止痛 处方分析 合理用药 

分 类 号：R614[医药卫生—麻醉学]